Healthcare Provider Details

I. General information

NPI: 1891629853
Provider Name (Legal Business Name): SHERRI LYNNE GODLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 EASTMAN ST STE 102
SOUTH EASTON MA
02375-1363
US

IV. Provider business mailing address

PO BOX 769
BRIDGEWATER MA
02324-0769
US

V. Phone/Fax

Practice location:
  • Phone: 508-297-1491
  • Fax:
Mailing address:
  • Phone: 508-297-1491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number228631
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: