Nancy Charlene Godbout, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125761 Issued in MA

Practice address

670 Amherst Rd
Granby, MA 01033-9784

Phone

(413) 255-0687

Fax

(413) 255-0689

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Godbout & Associates LLC

  • Adult Mental Health Clinic/Center
  • Granby, MA
  • NPI 1871201517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1639749872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 AMHERST RD",
            "city": "GRANBY",
            "state": "MA",
            "postal_code": "010339784",
            "telephone_number": "413-255-0687",
            "fax_number": "413-255-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 AMHERST RD",
            "city": "GRANBY",
            "state": "MA",
            "postal_code": "010339784",
            "telephone_number": "413-255-0687",
            "fax_number": "413-255-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOUT",
        "first_name": "NANCY",
        "middle_name": "CHARLENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Fortin, RN
• Eve Gibson, COTA
• Terese Girard-Majka, PHARMD
• Globalcare International
• Godbout & Associates LLC
• Granby Pharmacy, Inc
• Granby Pharmacy, Inc
• Granby Pharmacy, Inc.
• Granby Public Schools
• Sandra Guarrera

• Clinical Social Worker in Granby, MA
• Providers in Granby, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.