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

Mr. Peter Lawrence Godwin

Individual provider Social Worker · NPI 1609504612

Mr. Peter Lawrence Godwin is a Clinical Social Worker in Silver Spring, Maryland. Qualified in 2021, 5 years ago. Practices with Psychogeriatric Services LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

12073 Tech Rd Ste B
Silver Spring, MD 20904-7874
Phone: (301) 593-1315
Fax: (301) 681-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27658 (MD)
Social Worker Taxonomy 104100000X · Licence 27658 (MD)

Record details

NPI number1609504612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address243 S Market St Apt 2, Frederick, MD 21701-6526

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Psychogeriatric Services Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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