Blanca Godinez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126624

Practice address

790 S State St Ste 6
San Jacinto, CA 92583-4924

Phone

(951) 654-6002

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Institute for Family Centered Services Inc

  dba CA Mentor

  • Community/Behavioral Health Agency
  • San Jacinto, CA
  • NPI 1336896505

  Social Worker

  NPD
• Varp, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
  • NPI 1558118596
  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1659962652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25765 ECHO VALLEY RD",
            "city": "HOMELAND",
            "state": "CA",
            "postal_code": "925489619",
            "telephone_number": "951-293-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S STATE ST STE 6",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834924",
            "telephone_number": "951-654-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "BLANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1571920724",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "126624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GK Urgi Care Inc (Dr Koka's Clinic Inside Walmart)
• GK Urgi Care Inc (San Jacinto Medical Clinic/ Urgi Care)
• GK Urgi Care, Inc (s j urgi care)
• GK Urgicare,Inc (sj medical clinic)
• God House of Grace
• Vanessa L. Gomez
• Amanda D Gonzales, RADT
• Gabriela Gonzalez Vazquez
• Dianne Gonzalez
• Lorraine Anita Gonzalez

• Clinical Social Worker in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.