Individual provider Active NPI

Tina Layne Godino, LCSW

  • Clinical Social Worker
  • Canadian, TX
National Provider Identifier
1497494074
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107741 Issued in TX
Practice address
1010 S 4TH St
Canadian, TX 79014-3315
Phone
(806) 323-8882
Fax
(806) 323-6108
NPI assigned
Jun 1, 2022
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 107741 TX Primary

Addresses

Primary practice location

1010 S 4TH St
Canadian, TX 79014-3315

Mailing address

1010 S 4TH St
Canadian, TX 79014-3315
Phone (806) 323-8882

Other practice location 1

2931 Perryton Pkwy Ste B
Pampa, TX 79065-2823
Phone (806) 639-5916

Other practice location 2

1020 S 4th St
Canadian, TX 79014-3315
Phone (806) 323-6422

Other practice location 3

819 Hillside Ave
Canadian, TX 79014-3232
Phone (806) 323-1142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250115003141 TX Practitioner - Clinical Social Worker 3173901865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Texas a & M University System, HSC, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 S 4TH St
Canadian, TX 79014-3315
Phone (806) 323-8882

1020 S 4TH St
Canadian, TX 79014-3315
Phone (806) 323-6422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hemphill County Hospital District CurrentSince Nov 14, 2024 Accepting new patients
Canadian Family Physicians, PLLC Current Accepting new patients
Hemphill County Hospital District CurrentSince Nov 14, 2024 Accepting new patients

Locations

1010 S 4th St
Canadian, TX 79014
Phone (806) 323-8882

1020 S 4th St
Canadian, TX 79014
Phone (806) 323-6422

819 Hillside Ave
Canadian, TX 79014
Phone (806) 323-1142

2931 Perryton Pkwy
Ste B
Pampa, TX 79065
Phone (806) 639-5916

701 N Price Rd
Pampa, TX 79065
Phone (806) 665-7261

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAIAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCHAD/Endpoint/JJCHAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1497494074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-8882",
            "fax_number": "806-323-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-8882",
            "fax_number": "806-323-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 Perryton Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Pampa",
            "state": "TX",
            "postal_code": "790652823",
            "country_code": "US",
            "telephone_number": "806-639-5916",
            "fax_number": "806-639-5882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Canadian",
            "state": "TX",
            "postal_code": "790143315",
            "country_code": "US",
            "telephone_number": "806-323-6422",
            "fax_number": "806-323-8109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Canadian",
            "state": "TX",
            "postal_code": "790143232",
            "country_code": "US",
            "telephone_number": "806-323-1142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODINO",
        "first_name": "TINA",
        "middle_name": "LAYNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-02-12",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canadian, TX

Sources for this page

Verify at the official NPI Registry.