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MR. CLARENCE WILFRED GODDARD MA LADAC
NPI 1215644141
Counselor - Addiction (Substance Use Disorder) in Espanola, NM

Active since October 31, 2022
807 CALLE CHAMISAL, ESPANOLA, NM 87532(505) 372-4511 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Clarence Wilfred Goddard Ma Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLARENCE WILFRED GODDARD MA LADAC (NPI 1215644141) is an individual addiction (substance use disorder) provider in Espanola, New Mexico, licensed in New Mexico (CAD0210951) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1215644141
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CLARENCE WILFRED GODDARDCredential: MA LADAC
Location Address807 CALLE CHAMISALEspanola, NM 87532-2976
Mailing AddressPo Box 1775Espanola, NM 87532-1775 · (505) 423-4617
Phone(505) 372-4511
Sole ProprietorNo
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
✔ NPI 1215644141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · CAD0210951
807 CALLE CHAMISAL, Espanola, NM 87532
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA R ROMERO NONE
Case Manager/Care Coordinator
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (505) 372-4511
EDWARD ZEKE CHAVEZ
Community Health Worker
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (505) 706-3087
CHERYL J JOHNSON RN
Registered Nurse
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (505) 372-4511
AUGUSTUS JAMES ALTON MORRIS LSAA
Counselor (Addiction (Substance Use Disorder))
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (505) 376-7287
BRITTANY GARCIA
Peer Specialist
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (505) 376-7288
CHRISTOPHER OLIVAS CPSW
Peer Specialist
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (575) 200-0850
DARRINS PLACE INC
Community/Behavioral Health
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (505) 372-4511
GARY B. MARES
Behavior Technician
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Rio Arriba County (505) 372-4511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarence Goddard's NPI number?

The NPI number for Clarence Goddard is 1215644141. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Clarence Goddard located?

Clarence Goddard practices at 807 Calle Chamisal, Espanola, NM 87532. The listed phone number is (505) 372-4511.

What is Clarence Goddard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clarence Goddard was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.