Individual provider · Type 1 NPI

Jimmy M. Godwin, LCSWA, LCASA

Clinical Social Worker · Fayetteville, NC

NPI number 1972924348 Active

Practice location

2929 Damascus Rd
Fayetteville, NC 28303-4662

Fax (910) 229-2868

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP007656 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X3304-A (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1972924348

Jimmy M. Godwin, LCSWA, LCASA's National Provider Identifier is 1972924348, issued on Jan 2, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 18, 2014.