Individual provider Active NPI

Blanca Leticia Godinez

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1477008019
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
97587 Issued in CA
Practice address
7461 N 1St St Ste 102
Fresno, CA 93720-2850
Phone
(559) 492-2086
Fax
(559) 492-2903
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 97587 CA Primary

Addresses

Primary practice location

7461 N 1St St Ste 102
Fresno, CA 93720-2850

Mailing address

7461 N 1St St Ste 102
Fresno, CA 93720-2850
Phone (559) 492-8605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251120003155 CA Practitioner - Clinical Social Worker 6103278775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5150 N 6TH St
Suite 150
Fresno, CA 93710-7512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97587CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resiliency Center of Fresno CurrentSince Oct 1, 2025 Accepting new patients
Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap Past Accepting new patients
Comprehensive Youth Services of Fresno, Inc. Past Accepting new patients

Locations

3845 N Clark St
Ste 201
Fresno, CA 93726
Phone (559) 492-2266

7461 N 1st St
Ste 102
Fresno, CA 93720
Phone (559) 492-2086

Organizations & group practices 3

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1477008019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202850",
            "telephone_number": "559-492-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7461 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202850",
            "telephone_number": "559-492-2086",
            "fax_number": "559-492-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "BLANCA",
        "middle_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.