Individual provider Active NPI

Catecia Montae Godbee, LCSW

  • Clinical Social Worker
  • Peachtree Corners, GA
National Provider Identifier
1629684501
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007260 Issued in GA
Practice address
1524 Wynfield Trce
Peachtree Corners, GA 30092-4564
Phone
(404) 569-7418
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 CSW007260 GA Primary

Addresses

Primary practice location

1524 Wynfield Trce
Peachtree Corners, GA 30092-4564

Mailing address

1524 Wynfield Trce
Peachtree Corners, GA 30092-4564
Phone (470) 721-6650

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

LicenseStateTypeSpecialty
CSW007260GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1629684501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 WYNFIELD TRCE",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924564",
            "telephone_number": "470-721-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 WYNFIELD TRCE",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924564",
            "telephone_number": "404-569-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBEE",
        "first_name": "CATECIA",
        "middle_name": "MONTAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.