Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jermaine Leycester Godwin

Individual provider Case Manager/Care Coordinator · NPI 1124384102

Mr. Jermaine Leycester Godwin is a Case Manager/Care Coordinator in Carson, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

17406 Prondall Ct
Carson, CA 90746-1642
Phone: (424) 222-1326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1124384102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 4, 2012
Mailing address17406 Prondall Ct, Carson, CA 90746-1642

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