Mr Clyde William Godfrey I, LICSW - Medicare Clinical Social Worker in Tiverton, RI

Mr Clyde William Godfrey I, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Tiverton, Rhode Island. His current practice location is 52 Captains Cir, Tiverton, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (508) 493-3399.

Mr Clyde William Godfrey I is licensed to practice in Massachusetts (license number 1026910) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093112567.

Contact Information

Mr Clyde William Godfrey I, LICSW
52 Captains Cir,
Tiverton, RI 02878-2408
(508) 493-3399
Not Available



Healthcare Provider's Profile

Full NameMr Clyde William Godfrey I
GenderMale
SpecialitySocial Worker - Clinical
Location52 Captains Cir, Tiverton, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093112567
  • Provider Enumeration Date: 11/29/2014
  • Last Update Date: 11/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7517283716
  • Enrollment ID: I20150306000130

Medical Identifiers

Medical identifiers for Mr Clyde William Godfrey I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093112567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1026910 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Clyde William Godfrey I allows following entities to bill medicare on his behalf.
Entity NameChild & Family Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205813540
PECOS PAC ID: 9234116583
Enrollment ID: O20040812000815

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clyde William Godfrey I is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Clyde William Godfrey I, LICSW
Po Box 265,
Tiverton, RI 02878-0265

Ph: (508) 493-3399
Mr Clyde William Godfrey I, LICSW
52 Captains Cir,
Tiverton, RI 02878-2408

Ph: (508) 493-3399

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Social Worker in Tiverton, RI

Ms. Geraldine Feldman, MSW, LICSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 155 Main Rd, Tiverton, RI 02878
Phone: 401-662-1419    
Ms. Seena Sheri Franklin, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 67 Durfee Rd, Tiverton, RI 02878
Phone: 401-625-5581    
Amy Mello, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 25 Harris Drive, Tiverton, RI 02878
Phone: 401-935-1094    
Tracy Ann Dagesse, MSW, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 155 Main Rd, Tiverton, RI 02878
Phone: 401-624-7473    
Mrs. Sharon T Rust, LICWS
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 8 Neck Rd, Tiverton, RI 02878
Phone: 401-207-4316    Fax: 401-207-4316

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