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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
P009864 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDICAID GP | 830223 | 01 |
NC | MEDICAID OPT | 17304 | 01 |
Street Address |
511 MIDDLE RD |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28312-5207 |
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 |
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 Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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 |
City | FAYETTEVILLE |
Zip Code | 28312 |
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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.