Individual provider Active NPI

Joan Hunter Godsey, MSW

  • Clinical Social Worker
  • Bedford, IN
National Provider Identifier
1720262900
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006152A Issued in IN
Practice address
2809 Washington Ave
Ste R
Bedford, IN 47421-5310
Phone
(812) 278-8707
Fax
(877) 366-6099
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IN
Clinical Social Worker 1041C0700X 34006152A IN Primary

Addresses

Primary practice location

2809 Washington Ave
Ste R
Bedford, IN 47421-5310

Mailing address

2809 Washington Ave
Ste R
Bedford, IN 47421-5310
Phone (812) 278-8707

Other names 1

  • Joan Hunter Godsey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • 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
I20160513000167 IN Practitioner - Clinical Social Worker 5597054668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Matters Counseling and Consulting LLC Clinical CurrentSince Oct 1, 2014 Accepting new patients

Locations

2809 Washington Ave
#R
Bedford, IN 47421
Phone (812) 277-8100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1720262900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 WASHINGTON AVE",
            "address_2": "STE R",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310",
            "telephone_number": "812-278-8707",
            "fax_number": "877-366-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 WASHINGTON AVE",
            "address_2": "STE R",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310",
            "telephone_number": "812-278-8707",
            "fax_number": "877-366-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "JOAN",
        "middle_name": "HUNTER",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006152A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "GODSEY",
            "middle_name": "HUNTER",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.