Kelsey Godfrey

Individual provider Active NPI Social Worker · Brooklyn, NY

NPI 1770033003 · NPPES record last updated Oct 11, 2016

Key facts

NPI
1770033003
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
228 Metropolitan Ave
Apt 14
Brooklyn, NY 11211-4060
Phone
(908) 698-9102
NPI assigned
Oct 11, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NY Yes

Addresses

Primary practice location

228 Metropolitan Ave
Apt 14
Brooklyn, NY 11211-4060

Mailing address

228 Metropolitan Avenue Apt 14
Brooklyn, NY 11211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2016.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1770033003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 METROPOLITAN AVENUE APT 14",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 METROPOLITAN AVE",
            "address_2": "APT 14",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114060",
            "telephone_number": "908-698-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.