Suppna Amika Godkin, is a
Social Worker based in Vallejo, California. Suppna Amika Godkin is licensed to practice in California (license number 113721) and her current practice location is
508 Alabama St, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at
(510) 641-7910.
NPI number for Suppna Amika Godkin is 1093482861 and her current mailing address is 508 Alabama St, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093482861.
Healthcare Provider's Profile
Full Name | Suppna Amika Godkin |
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Gender | Female |
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Speciality | Social Worker |
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Location | 508 Alabama St, Vallejo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093482861
- Provider Enumeration Date: 08/27/2021
- Last Update Date: 07/21/2023
Medical Identifiers
Medical identifiers for Suppna Amika Godkin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093482861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
104100000X | Social Worker | 113721 (California) | Primary |
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. Suppna Amika Godkin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Suppna Amika Godkin, 508 Alabama St, Vallejo, CA 94590-4446 Ph: (510) 641-7910 | Suppna Amika Godkin, 508 Alabama St, Vallejo, CA 94590-4446 Ph: (510) 641-7910 |
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