Active NPI
Elena Clare Godfrey, LSW
- Social Worker
- Rockford, IL
National Provider Identifier
1194950360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.010338
- Practice address
- 4777 E State St
Alzheimer'S Association
Rockford, IL 61108-2273 - Phone
- (815) 484-1300
- Fax
- (815) 484-9286
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.010338 | IL | Primary |
Addresses
Primary practice location
4777 E State St
Alzheimer'S Association
Rockford, IL 61108-2273
Mailing address
4777 E State St
Alzheimer'S Association
Rockford, IL 61108-2273
Phone (815) 484-1300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.010338 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alzheimer'S Disease and Related Disorders Association | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Chicago, IL
- NPI 1376787804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1194950360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 E STATE ST",
"address_2": "ALZHEIMER'S ASSOCIATION",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082273",
"telephone_number": "815-484-1300",
"fax_number": "815-484-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E STATE ST",
"address_2": "ALZHEIMER'S ASSOCIATION",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082273",
"telephone_number": "815-484-1300",
"fax_number": "815-484-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "ELENA",
"middle_name": "CLARE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.010338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.