Transfer-InGOALS Client ID CL-008211 Current Agency Cascade Community Services Assigned GOALS Case Manager Marcus Hill Date Created 1969-12-16 Transferring Programs
Devon Ashby
Pending for AuthTR-000102Housing
Pending since 1969-12-18 · 20709 calendar days · 14791 business days · expected response by 1969-12-25 — follow up with Wellpoint.
Program Transfer Summary
| Program | Current Agency | Route | Authorization Status | GOALS Program Status |
|---|---|---|---|---|
| Housing | Cascade Community Services | Transfer to GOALS | Pending for Auth | Not Active |
| Employment | Cascade Community Services | Not Currently Receiving This Program | Not Applicable | Not Managed by GOALS |
Client Information
- Preferred Name
- —
- Date of Birth
- 1994-06-14
- ProviderOne ID
- 202990117WA
- Primary Phone
- (360) 555-0128
- Secondary Phone
- —
- —
- Address
- —
- Service County
- Snohomish
- Service City
- Everett
- Preferred Contact
- Phone
- Preferred Language
- English
- Intake Source
- Transfer-In
Current Agency and Provider
- Agency
- Cascade Community Services
- Agency Contact
- Ivy Nakamura
- Agency Phone
- (360) 555-4400
- Agency Email
- —
- Current Provider
- —
- Provider Phone
- —
- Provider Email
- —
- Transfer Request Date
- 1969-12-16
- Transfer Reason
- Client requested a new provider after a case manager change.
- Additional Notes
- —
GOALS Assignment
- Case Manager
- Marcus Hill
- Supervisor
- Sam Vega
- GOALS Service County
- Snohomish
- GOALS Service City
- Everett
- Expected Transfer Date
- —
- Internal Notes
- —