Robert Alfred Godfrey III, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08132 Issued in MD

Practice address

802 Stewart Ave
Cumberland, MD 21502-3663

Phone

(301) 722-5066

NPI assigned

Apr 28, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICCABA/Endpoint/ICCABA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1033400775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 STEWART AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023663",
            "telephone_number": "301-722-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 STEWART AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023663",
            "telephone_number": "301-722-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "ROBERT",
        "middle_name": "ALFRED",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08132",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "0652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Ghobrial, MD
• Stephanie Ann Glessner, LGPC
• Danielle R Glotfelty, PA-C
• Jennifer Lytle Glotfelty, LCSW-C
• Lindsey Glotfelty, PHARMD
• Ashley Golden, FNP-BC
• Karen Louise Golden, ED.D.
• Gerald Goldstein, MD
• Grand Purpose LLC.
• Carol Marie Granet, D.D.S.

• Clinical Social Worker in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.