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
Show map & directions

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

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