MRS. MARIE I. GAINES


Address: 511 Middle Rd, Fayetteville, NC 28312-5207
Phone: 9108973000

MRS. MARIE I. GAINES (NPI# 1457737991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457737991
Entity Type Individual
Full Name MRS. MARIE I. GAINES
Credential LCSWA
Practice Address 511 Middle Rd
Fayetteville
NC 28312-5207
Mailing Address 380 Hidalgo Dr
Raeford
NC 28376-5965
Practice Telephone 9108973000
Mailing Telephone 9104955093
Enumeration Date 2015-08-06
Last Update Date 2015-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
P009864 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICAID GP 830223 01
NC MEDICAID OPT 17304 01

Office Location

Street Address 511 MIDDLE RD
City FAYETTEVILLE
State NC
Zip Code 28312-5207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609051275 Johari Family Services,llc Residential Treatment Facility, Emotionally Disturbed Children 511 Middle Rd, Fayetteville, NC 28312-5207 2008-01-02
1376925784 Tony Rolan Hornes Social Worker 511 Middle Rd, Fayetteville, NC 28312-5207 2015-06-22
1629458369 Mato Brown Social Worker 511 Middle Rd, Fayetteville, NC 28312 2015-06-08
1427437722 Melissa Antonia Sparks Social Worker 511 Middle Rd, Fayetteville, NC 28312-5207 2015-05-20
1629415070 Tamika Shavone Wallace Social Worker 511 Middle Rd, Fayetteville, NC 28312-5207 2013-05-24
1730417726 Johari Family Services, LLC Psychologist 511 Middle Rd, Fayetteville, NC 28312-5207 2009-12-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376185207 Christine U Jones Technician 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 2019-10-11
1497305890 Stephanie Deshawn Cain Technician 1250 Colts Pride Dr, Fayetteville, NC 28312 2019-09-17
1477057545 Accurate Sleep Diagnostic Center LLC Clinic/Center 4220 Locks Creek Church Road, Fayetteville, NC 28312 2018-03-22
1245739457 Heather S Callihan Home Health 415 Old Vander Rd, Fayetteville, NC 28312 2018-02-03
1497088371 Rainbow Pediatrics of Eastover Pediatrics 3361 Dunn Rd, Eastover, NC 28312 2009-09-10
1093947798 Nuvision Home Care, Inc. Home Health 1549 River Road, Fayetteville, NC 28312 2009-08-13
1992724157 Jactom Inc Skilled Nursing Facility 3532 Dunn Road, Fayetteville, NC 28312 2006-07-19
1134580442 Elizabeth Boyle Kleinfelder Nurse Practitioner 3551 Dunn Rd, Eastover, NC 28312 2016-03-14
1225109911 William I Cross Emergency Medicine 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 2006-11-13
1033382486 Serenity Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 711 Middle Rd, Fayetteville, NC 28312-5211 2008-04-07
Find all providers in zip 28312

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700484201 Torrie Luciana Powell Social Worker 3526 Standard Dr, Fayetteville, NC 28306-8089 2020-10-15
1053918169 Activelife Counseling, LLC Social Worker 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 2020-10-02
1861004996 Roderick Eugene Brown Jr. Social Worker 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 2020-08-19
1427667278 Valerie Russell Social Worker 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 2020-07-28
1942822671 Alexis Oneal Vestal Social Worker 723 Athens Ave, Fayetteville, NC 28301-4800 2020-05-15
1346862281 Heather Marie Sroka Social Worker 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 2020-05-14
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1730716887 Denise Rodriguez Social Worker 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 2020-03-26
1982239877 Alicia Story Social Worker 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 2020-03-11
1053959619 Benlyd Colon Social Worker 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 2019-12-13
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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