Individual provider Active NPI

Barbara Jean Godfrey, MSSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1255349221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW858 Issued in TN
Practice address
1111 Northshore Drive
Suite S 490
Knoxville, TN 37919
Phone
(865) 584-0171
Fax
(865) 584-0174
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW858 TN Primary

Addresses

Primary practice location

1111 Northshore Drive
Suite S 490
Knoxville, TN 37919

Mailing address

1111 Northshore Drive
Suite S 490
Knoxville, TN 37919
Phone (865) 584-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140603001465 TN Practitioner - Clinical Social Worker 0941423370 Reassigns benefits to 1 organization
Practice locations: Knosville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Northshore Group IncGroup PAC ID 7012374929, 16 clinicians

Practice addresses (Care Compare)

1111 N Northshore Dr
Suite S490
Knoxville, TN 37919-2808
Phone (865) 584-0171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
858TNMDBehavioral Analyst
LCSW858TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Northshore Group, Inc. Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

1111 N Northshore Dr
Ste S490
Knoxville, TN 37919
Phone (865) 584-0171

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255349221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NORTHSHORE DRIVE",
            "address_2": "SUITE S 490",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-584-0171",
            "fax_number": "865-584-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NORTHSHORE DRIVE",
            "address_2": "SUITE S 490",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-584-0171",
            "fax_number": "865-584-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.