Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396189981 Deactivated / Inactive NPI Male Practitioner

Michael Joseph Godfrey , BSW

Social Worker - School • Port Huron, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Godfrey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2013
NPI Deactivation Date August 17, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Michael Godfrey, BSW was a registered Social Worker - School practicing in Port Huron, MI. Throughout an active medical career spanning 7 years, Michael Godfrey provided care at the practice location at 3111 ELECTRIC AVE until profile deactivation on 2020-08-17.

Practice Location & Contact Primary Location

Practice Address

3111 Electric Ave

Port Huron, MI 480608127

Telephone 8109858900
Associated Practice Facility / Clinic
🏢 Genoa Healthcare Llc Facility NPI 1497791313

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - School in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Port Huron, MI (169 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - School Primary Specialty

NUCC Taxonomy Code: 1041S0200X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Croteau , RN, BSN

Registered Nurse

NPI 1003132630

Registered Nurse, Bachelor of Science in Nursing

Heather Stewart , LMSW

Social Worker - Clinical

NPI 1003237710

Licensed Master Social Worker

Micaela Champine

Peer Specialist

NPI 1003345562
Callie Gunn

Social Worker - Clinical

NPI 1003483215
Jacqueline Nichols

Technician/Technologist

NPI 1003665597
Shelby Graham

Case Manager/Care Coordinator

NPI 1003777103

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 17, 2020

Record deactivated on August 17, 2020

NPI Profile Active April 25, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 25, 2013

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

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Updated Business Mailing Address April 25, 2013

Registered at 5119 TWIN LAKES DR, KIMBALL, MI 480741344 (Tel: 7609771110)

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Provider Name / Credentials Updated April 25, 2013

Recorded as MICHAEL GODFREY, BSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2013

Social Worker

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Initial NPI Registration & Enumeration April 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396189981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2013
Last Update: April 25, 2013
Deactivation Date: August 17, 2020

Mailing Address

5119 Twin Lakes Dr

Kimball, MI 480741344

Phone: 7609771110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.