Individual provider Active NPI

Hope Mullins Godleski, LCSW

  • Case Manager/Care Coordinator
  • Suwanee, GA
National Provider Identifier
1235280926
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CSW004459 Issued in GA
Practice address
50 Gilbert Cir
Suwanee, GA 30024-3709
Phone
(678) 925-4101
NPI assigned
Jan 16, 2007
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004459 GA
Case Manager/Care Coordinator 171M00000X CSW004459 GA Primary

Addresses

Primary practice location

50 Gilbert Cir
Suwanee, GA 30024-3709

Mailing address

50 Gilbert Cir
Suwanee, GA 30024-3709
Phone (678) 925-4101

Other identifiers 1

IdentifierTypeStateIssuer
CSW004459OtherGASTATE LICENSE

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

LicenseStateTypeSpecialty
CSW004459GAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1235280926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GILBERT CIR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243709",
            "telephone_number": "678-925-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GILBERT CIR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243709",
            "telephone_number": "678-925-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLESKI",
        "first_name": "HOPE",
        "middle_name": "MULLINS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004459",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "CSW004459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CSW004459",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.