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

Miss. Emmalynn Rose Goddard, SC61541753

Individual provider Case Manager/Care Coordinator · NPI 1104544774

Miss. Emmalynn Rose Goddard, SC61541753 is a Case Manager/Care Coordinator in Provo, Utah. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1345 22nd St Ne, Auburn, WA 98002-3442 — (253) 833-5908

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 61541753 (WA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1104544774
Entity typeIndividual (Type 1)
GenderFemale
Credentials SC61541753
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

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