Godwin Fenuku, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

94149 Issued in CA

Practice address

26542 Lido Dr
Murrieta, CA 92563-8001

Phone

(951) 565-7551

Fax

(951) 358-3548

NPI assigned

Dec 31, 2015

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1205291515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 COUNTY FARM RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033542",
            "telephone_number": "951-265-1219",
            "fax_number": "951-358-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26542 LIDO DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925638001",
            "telephone_number": "951-565-7551",
            "fax_number": "951-358-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENUKU",
        "first_name": "GODWIN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "49379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadi Fattah, M.D.
• John R Feeney, D.O.
• Alfred William Fehling, D.D.S.
• Sofia B Feliciano, DNP
• James Andrew Fent, P.T., MS
• Larissa Fernandez Jauregui
• Patrick Fernandez-Hernaiz, LMFT
• Jonathan Fernandez
• Kathryn Marie Fernandez, PA-C
• Sara Elizabeth Fernandez

• Clinical Social Worker in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.