Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Goforth

Individual provider Case Manager/Care Coordinator · NPI 1053132258

Jaclyn Goforth is a Case Manager/Care Coordinator in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

5563 Far Hills Ave
Dayton, OH 45429-2225
Phone: (937) 291-2300
Fax: (937) 291-2303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)

Record details

NPI number1053132258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address5563 Far Hills Ave, Dayton, OH 45429-2225

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