Stephanie Taylor Godiwala, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCM434 Issued in MD

Practice address

116 Oliver Heights Rd
Owings Mills, MD 21117-5067

Phone

(252) 531-6828

Fax

(443) 394-2639

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1821374737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OLIVER HEIGHTS RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175067",
            "telephone_number": "252-531-6828",
            "fax_number": "443-394-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OLIVER HEIGHTS RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175067",
            "telephone_number": "252-531-6828",
            "fax_number": "443-394-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIWALA",
        "first_name": "STEPHANIE",
        "middle_name": "TAYLOR",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23828",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM434",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "06 000749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.