=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982524666
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SABRINA ROSE GODINHO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2026
-----------------------------------------------------
Last Update Date | 07/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 109 RHODE ISLAND RD
-----------------------------------------------------
City | LAKEVILLE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02347-1370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-384-0973
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15 COURTLAND ST
-----------------------------------------------------
City | MIDDLEBORO
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02346-2116
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-384-0973
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 172V00000X
-----------------------------------------------------
Taxonomy Name | Community Health Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------