Active NPI
Paula Marechal, LISW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1124392881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016705
- Practice address
- 711 Executive PL FL 3
Fayetteville, NC 28305-5193 - Phone
- (910) 615-3333
- Fax
- (910) 615-9863
- NPI assigned
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I07158 | NM | |
| Clinical Social Worker | 1041C0700X | C016705 | NC | Primary |
Addresses
Primary practice location
711 Executive PL FL 3
Fayetteville, NC 28305-5193
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I07158 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Clinical | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Fayetteville, NC
- NPI 1881946242
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1124392881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908",
"telephone_number": "910-615-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 EXECUTIVE PL FL 3",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055193",
"telephone_number": "910-615-3333",
"fax_number": "910-615-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARECHAL",
"first_name": "PAULA",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I07158",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.