Active NPI
Tina Layne Godino, LCSW
- Clinical Social Worker
- Canadian, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107741
- 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, 2025
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemphill County Hospital District | Current | Accepting new patients | |
| Canadian Family Physicians, PLLC | Current | Accepting new patients | |
| Hemphill County Hospital District | Current | 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
- https://fhir4.healow.com/fhir/r4/AAIAAA
- 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.
-
dba Canadian Family Physicians
- Rural Health Clinic/Center
- Canadian, TX
- NPI 1720404924
-
- Case Manager/Care Coordinator
- Canadian, TX
- NPI 1689806523
-
dba Hemphill County Hospital Provider Group
- Critical Access Hospital
- Canadian, TX
- NPI 1578436671
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
- James Clifford Chappell
- George A Cook, MD
- Roger A Davenport, RPH
- Derm Nuvo PA
- Ga Tony Cook MD PA
- Dee Ann Hare, RPH
- Hemphill Co. Hospital District Dba Mesa View Assisted Living
- Hemphill County Hospital District
- Hemphill County Hospital District (Hope Awakened Counseling)
- Hemphill County Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.