Active NPI
Elizabeth Janel Godinho, LSW
- Social Worker
- Oswego, IL
National Provider Identifier
1245012087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.111722
- Practice address
- 113 Main Street
Ste. 302
Oswego, IL 60543 - Phone
- (630) 733-9108
- NPI assigned
- Oct 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.111722 | IL | Primary |
Addresses
Primary practice location
113 Main Street
Ste. 302
Oswego, IL 60543
Mailing address
2212 Lynn Drive
Montgomery, IL 60538
Phone (630) 945-0082
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 |
|---|---|---|---|
| 150.111722 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impactful Therapy PLLC | 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.
-
- Clinical Social Worker
- Aurora, IL
- NPI 1215859459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1245012087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 LYNN DRIVE",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "60538",
"telephone_number": "630-945-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 MAIN STREET",
"address_2": "STE. 302",
"city": "OSWEGO",
"state": "IL",
"postal_code": "60543",
"telephone_number": "630-733-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODINHO",
"first_name": "ELIZABETH",
"middle_name": "JANEL",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.111722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.