National Provider Identifier
Mary Jane Godfrey, LCSW
Mary Jane Godfrey, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in North Collins, NY and a listed phone number of (716) 842-0440.
Profile Overview
- NPI
- 1760769384
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 10, 2011
- Last Updated
- November 22, 2016
Practice Location
- 2107 Spruce Street
- North Collins, NY 14111
Phone: (716) 842-0440
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1760769384
- Entity Type
- Individual
- Last Name
- Godfrey
- First Name
- Mary Jane
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 2107 Spruce Street
- Mailing City
- North Collins
- Mailing State
- NY
- Mailing ZIP Code
- 14111
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Mailing Fax
- (716) 842-4069
- Practice Street Address
- 2107 Spruce Street
- Practice City
- North Collins
- Practice State
- NY
- Practice ZIP Code
- 14111
- Practice Country
- US
- Practice Phone
- (716) 842-0440
- Practice Fax
- (716) 842-4069
- Enumeration Date
- November 10, 2011
- Last Updated
- November 22, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)
- Other Identifiers
- 1760769384 (NY)