MS. PATRICIA DIANE GODWIN LCSW NPI 1619969193

NPI Information

NPI: 1619969193
Provider Name: MS. PATRICIA DIANE GODWIN, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7050 HIGHLAND DR
SUITE 300-B
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 944-0938
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MS. Patricia Diane Godwin, LCSW is a mental health counselor in Salt Lake City, UT. MS. Patricia Diane Godwin, LCSW NPI is 1619969193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7050 HIGHLAND DR
SUITE 300-B
SALT LAKE CITY, UT
ZIP 84121-749
Phone: (801) 944-0938
Fax: (801) 944-0948

The enumeration date for this NPI number is 8/19/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	278496-3501	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	77072	MEDICARE ID-TYPE UNSPECIFIED	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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