Individual provider Active NPI

Pamela Godbois, LICSW

  • Clinical Social Worker
  • Milford, NH
National Provider Identifier
1467558148
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1319 Issued in NH
Practice address
16 Elm St
Milford, NH 03055-4890
Phone
(603) 672-5005
Fax
(603) 672-6501
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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 1319 NH Primary

Addresses

Primary practice location

16 Elm St
Milford, NH 03055-4890

Mailing address

22 Greeley St
Ste 5
Merrimack, NH 03054-4434
Phone (603) 672-5005

Other identifiers 1

IdentifierTypeStateIssuer
7706660Y0NH01OtherNHBLUE CROSS

Other names 1

  • Pamela Roderick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20060925000352 NH Practitioner - Clinical Social Worker 4981609013 Practice locations: New Boston, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 River Rd
New Boston, NH 03070-3706
Phone (603) 315-1601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center, PLLC PastSince Feb 23, 2025 Accepting new patients
Family Guidance Center of Milford PastSince May 12, 2011 Accepting new patients
Nurses PRN Inc PastSince Mar 1, 2020 Accepting new patients
New Boston Physical Therapy, LLC PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 4

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451779200000",
    "number": "1467558148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GREELEY ST",
            "address_2": "STE 5",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544434",
            "telephone_number": "603-672-5005",
            "fax_number": "603-672-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ELM ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554890",
            "telephone_number": "603-672-5005",
            "fax_number": "603-672-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOIS",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "7706660Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "RODERICK",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.