Individual provider Active NPI

Elizabeth Ann Godwin - Stevenson, LCSW, PHD

  • Clinical Social Worker
  • Culpeper, VA
National Provider Identifier
1396878187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002202 Issued in VA
Practice address
1100 Sunset LN
Suite 1310a
Culpeper, VA 22701-3378
Phone
(540) 727-0770
Fax
(540) 727-7310
NPI assigned
Mar 13, 2007
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 0904002202 VA Primary

Addresses

Primary practice location

1100 Sunset LN
Suite 1310a
Culpeper, VA 22701-3378

Mailing address

306 Macoy Ave
Culpeper, VA 22701-2915
Phone (540) 727-7642

Other identifiers 5

IdentifierTypeStateIssuer
115774OtherVAANTHEM CULPEPER
141107OtherVAANTHEM GAINESVILLE
290799OtherVAANTHEM RESTON
25740002OtherVACAREFIRST
199980OtherVAMHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 26, 2016 through Aug 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0904002202VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Counseling Centers Clinical Past Accepting new patients
Chrysalis Counseling Center Past Accepting new patients

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396878187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MACOY AVE",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012915",
            "telephone_number": "540-727-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SUNSET LN",
            "address_2": "SUITE 1310A",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013378",
            "telephone_number": "540-727-0770",
            "fax_number": "540-727-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN - STEVENSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CULPEPER",
            "identifier": "115774",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GAINESVILLE",
            "identifier": "141107",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "290799",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "25740002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "199980",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.