Active NPI
Michelle Lynn Godwin, LCSW85811
- Clinical Social Worker
- El Dorado Hills, CA
National Provider Identifier
1154747616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW85811
- Practice address
- 5000 Windplay Dr Ste 2
El Dorado Hills, CA 95762-9319 - Phone
- (530) 903-8548
- NPI assigned
- Mar 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW77868 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW85811 | CA | Primary |
Addresses
Primary practice location
5000 Windplay Dr Ste 2
El Dorado Hills, CA 95762-9319
Mailing address
PO Box 2004
Diamond Springs, CA 95619-2004
Phone (530) 691-2475
Other practice location 1
941 Spring St Ste 7
Placerville, CA 95667-4546
Phone (530) 903-8548
Other practice location 2
3988 Wimbledon Dr
Diamond Springs, CA 95619-9293
Phone (530) 903-8548
Other practice location 3
4726 El Dorado Rd
El Dorado, CA 95623-4204
Phone (530) 903-8548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW77868 | CA | MD | Clinical Social Worker |
| LCSW85811 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1154747616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2004",
"city": "DIAMOND SPRINGS",
"state": "CA",
"postal_code": "956192004",
"telephone_number": "530-691-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 WINDPLAY DR STE 2",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629319",
"telephone_number": "530-903-8548"
}
],
"practiceLocations": [
{
"address_1": "941 Spring St Ste 7",
"address_purpose": "LOCATION",
"city": "Placerville",
"state": "CA",
"postal_code": "956674546",
"country_code": "US",
"telephone_number": "530-903-8548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3988 Wimbledon Dr",
"address_purpose": "LOCATION",
"city": "Diamond Springs",
"state": "CA",
"postal_code": "956199293",
"country_code": "US",
"telephone_number": "530-903-8548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4726 El Dorado Rd",
"address_purpose": "LOCATION",
"city": "El Dorado",
"state": "CA",
"postal_code": "956234204",
"country_code": "US",
"telephone_number": "530-903-8548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODWIN",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSW85811",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW77868",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW85811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.