Healthcare Provider Details

I. General information

NPI: 1871771709
Provider Name (Legal Business Name): CATHLEEN AMBER GODWIN M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 ROSEMEAD BLVD
EL MONTE CA
91731-2830
US

IV. Provider business mailing address

3208 ROSEMEAD BLVD
EL MONTE CA
91731-2830
US

V. Phone/Fax

Practice location:
  • Phone: 626-227-7001
  • Fax:
Mailing address:
  • Phone: 626-227-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: