Active NPI
Katharine Godfrey, LCSW
- Social Worker
- Wilmington, NC
National Provider Identifier
1407313976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P013057
- Practice address
- 4833 Carolina Beach Rd Ste 106
Wilmington, NC 28412-2370 - Phone
- (910) 603-8981
- NPI assigned
- Feb 20, 2019
- 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 | P013057 | NC | Primary |
Addresses
Primary practice location
4833 Carolina Beach Rd Ste 106
Wilmington, NC 28412-2370
Mailing address
2051 Twilight Dr NE
Winnabow, NC 28479-5054
Phone (910) 603-8981
Other practice location 1
2509 Troy Dr Apt 8
Wilmington, NC 28401-2508
Phone (910) 603-8981
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 |
|---|---|---|---|
| P013057 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evoke Wellness, 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
- Wilmington, NC
- NPI 1609598150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1407313976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 TWILIGHT DR NE",
"city": "WINNABOW",
"state": "NC",
"postal_code": "284795054",
"telephone_number": "910-603-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4833 CAROLINA BEACH RD STE 106",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122370",
"telephone_number": "910-603-8981"
}
],
"practiceLocations": [
{
"address_1": "2509 Troy Dr Apt 8",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284012508",
"country_code": "US",
"telephone_number": "910-603-8981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODFREY",
"first_name": "KATHARINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P013057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.