Active NPI
Emily Smith Godfrey, LCSW
- Clinical Social Worker
- Mooresville, NC
National Provider Identifier
1982738613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004244
- Practice address
- 280 Cabin Creek Rd
Mooresville, NC 28115-9503 - Phone
- (704) 855-1704
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004244 | NC | Primary |
Addresses
Primary practice location
280 Cabin Creek Rd
Mooresville, NC 28115-9503
Mailing address
280 Cabin Creek Rd
Mooresville, NC 28115-9503
Phone (704) 855-1704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C004244 | Other | NC | LCSW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004244 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982738613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CABIN CREEK RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281159503",
"telephone_number": "704-855-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 CABIN CREEK RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281159503",
"telephone_number": "704-855-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "EMILY",
"middle_name": "SMITH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "C004244",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.