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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.