Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679277099 Individual Practitioner Female Practitioner

Casey Goderum

Rehabilitation Practitioner • Santa Rosa, CA

Professional Overview & Biography Verified Profile Summary

Casey Goderum is a registered healthcare professional specializing in Rehabilitation Practitioner in Santa Rosa, CA. Practice services are available at 634 PRESSLEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

634 Pressley St

Santa Rosa, CA 954045526

Telephone 7075736955
Associated Practice Facility / Clinic
🏢 Community Suppport Network Facility NPI 1831219989

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
82 Specialists

Practicing in Santa Rosa, CA (14127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-16
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013177930
Kaitlyn Weber

Counselor - Mental Health

NPI 1033971320
David Engel

Counselor

NPI 1063610624
Katherine Slater

Counselor - Mental Health

NPI 1124659990
Megan Hamilton

Community Health Worker

NPI 1124842570
Maya Nieto

Counselor - Mental Health

NPI 1134833643

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address July 16, 2025

Registered at 420 E COTATI AVE, COTATI, CA 949314442 (Tel: 7077954336)

📍
Updated Practice Location October 01, 2024

Registered at 634 PRESSLEY ST, SANTA ROSA, CA 954045526 (Tel: 7075736955)

📍
Updated Business Mailing Address October 01, 2024

Registered at 634 PRESSLEY ST, SANTA ROSA, CA 954045526 (Tel: 7075736955)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2024

Counselor

NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2023

Registered at 2720 HIDDEN VALLEY DR, SANTA ROSA, CA 954041828 (Tel: 7073287513)

📍
Updated Business Mailing Address March 29, 2023

Registered at 2720 HIDDEN VALLEY DR, SANTA ROSA, CA 954041828 (Tel: 7073287513)

👤
Provider Name / Credentials Updated March 29, 2023

Recorded as CASEY GODERUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Counselor

🟢
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679277099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: July 16, 2025
Sole Proprietor: Yes

Mailing Address

420 E Cotati Ave

Cotati, CA 949314442

Phone: 7077954336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.