Active NPI
Krista Godek, LISW-CP
- Social Worker
- Charleston, SC
National Provider Identifier
1285036673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10103
- Practice address
- 4 Carriage LN
Charleston, SC 29407-6065 - Phone
- (843) 974-5934
- Fax
- (843) 647-7768
- NPI assigned
- Sep 17, 2014
- 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 | 10103 | SC | Primary |
Addresses
Primary practice location
4 Carriage LN
Charleston, SC 29407-6065
Mailing address
4 Carriage LN
Charleston, SC 29407-6065
Phone (843) 974-5934
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 |
|---|---|---|---|
| 10103 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1285036673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CARRIAGE LN",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076065",
"telephone_number": "843-974-5934",
"fax_number": "843-647-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CARRIAGE LN",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076065",
"telephone_number": "843-974-5934",
"fax_number": "843-647-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODEK",
"first_name": "KRISTA",
"name_prefix": "Mrs.",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "10103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.