Individual provider Active NPI

Eric Robert Godfroy, LMSW, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1790241966
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018016895 Issued in MO
Practice address
1800 E Truman Rd
Kansas City, MO 64127-1938
Phone
(816) 404-1000
Fax
(816) 404-6318
NPI assigned
Feb 13, 2019
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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 9646 KS
Clinical Social Worker 1041C0700X 2018016895 MO Primary

Addresses

Primary practice location

1800 E Truman Rd
Kansas City, MO 64127-1938

Mailing address

712 NE 81St St
Kansas City, MO 64118-1304
Phone (816) 206-4397

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018016895MOMDClinical Social Worker
9646KSMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1790241966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 NE 81ST ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181304",
            "telephone_number": "816-206-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E TRUMAN RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271938",
            "telephone_number": "816-404-1000",
            "fax_number": "816-404-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFROY",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018016895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.