Active NPIIndividual providerSole proprietor

Mr. Clyde W Godfrey I, LICSW

Social Worker, Clinical in Tiverton, Rhode Island

NPI Number1093112567
Practice location
52 Captains Cir, Tiverton, RI 02878-2408
Fax
—
Last updated
November 29, 2014

Clyde William Godfrey is a Social Worker, Clinical based in Tiverton, RI. Clyde William Godfrey practices in Tiverton, RI and has the professional credentials of LICSW. The NPI Number for Clyde William Godfrey is 1093112567 and holds a License No. 1026910 (MA). The current practice location address for Clyde William Godfrey is 52 Captains Cir, Tiverton, RI 02878-2408 and can be reached out via phone at 508-493-3399.

Provider Profile Details

NPI Number
1093112567
Provider Name
Clyde William Godfrey
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
52 Captains Cir, Tiverton, RI 02878-2408
Phone Number
508-493-3399
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 29, 2014
Last Update Date
November 29, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Captains Cir
Tiverton, RI 02878-2408
Zip
02878-2408
Phone Number
508-493-3399
Tiverton, RI 02878Get directions →

Provider Business Mailing Address Details

Address
Po Box 265
Tiverton, RI 02878-0265
City
Tiverton
State
RI
Zip
02878-0265
Phone Number
508-493-3399

License Information

License Number
1026910
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Clyde W Godfrey I, LICSW?

The NPI number of Mr. Clyde W Godfrey I, LICSW is 1093112567. It was assigned on November 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Clyde W Godfrey I, LICSW?

Mr. Clyde W Godfrey I, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1026910.

Where does Mr. Clyde W Godfrey I, LICSW practice?

The practice location is 52 Captains Cir, Tiverton, RI 02878-2408. The office can be reached at 508-493-3399 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093112567 directly on the NPPES registry website.

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