Alejandro Alfredo Godoy, LCSW R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0467121 Issued in NY

Practice address

20 Montauk Highway
Blue Point, NY 11715

Phone

(631) 244-0954

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922044635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HOLLY DRIVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821306",
            "telephone_number": "631-567-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MONTAUK HIGHWAY",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "11715",
            "telephone_number": "631-244-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "ALEJANDRO",
        "middle_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0467121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02246835",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Giampino
• Eileen Farrell Gibbons
• Tracey Ashley Gill
• Samantha Giordano
• Gregory Glover, MS, OTR/L
• Jessica Gomez
• Nancy Gorgone, R.N.
• Alexa Nicole Graffagnino
• Laura Daniela Granizo
• Maryanne Graviano, LCSW-R, BCD

• Clinical Social Worker in Blue Point, NY
• Providers in Blue Point, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.