Marie Guirlene Petion

Primary specialty

Social WorkerTaxonomy code 104100000X

License

Q3-000126 Issued in DE

Practice address

292 Carter Dr Ste a&B
Middletown, DE 19709-5846

Phone

(302) 257-5848

Fax

(302) 397-2068

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1053939702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 WILSON DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042434",
            "telephone_number": "302-943-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 CARTER DR STE A&B",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095846",
            "telephone_number": "302-257-5848",
            "fax_number": "302-397-2068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Chapman Rd Ste 105-2",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197025499",
            "country_code": "US",
            "telephone_number": "302-689-3562",
            "fax_number": "302-294-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETION",
        "first_name": "MARIE",
        "middle_name": "GUIRLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-000126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Phillips, LAT, ATC

• Social Worker in Middletown, DE
• Providers in Middletown, DE by specialty
• Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.