Jimmy M Godwin, LCSWA, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007656 Issued in NC

Practice address

2929 Damascus Rd
Fayetteville, NC 28303-4662

Phone

(910) 229-2468

Fax

(910) 229-2868

NPI assigned

Jan 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1972924348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 DAMASCUS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034662",
            "telephone_number": "910-229-2468",
            "fax_number": "910-229-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 DAMASCUS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034662",
            "telephone_number": "910-229-2468",
            "fax_number": "910-229-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "JIMMY",
        "middle_name": "M",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007656",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3304-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Nelson Goble, PH.D.
• Hali Goddard
• Marilyn Powell Godette, LCSW
• Alejandro Godinez
• Dalton Godwin
• Alyssa Goehring, RBT
• Esther Goeke, MSS, LCSWA
• Abhishek Goel, MD
• Colleen Goepfert
• Cornelia Gogan, LCSW-A

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.