Maria Camila Gaviria

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

25 W Main St
Conway, NH 03818-6142

Phone

(603) 447-2111

Fax

(603) 447-1021

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

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.

• Northern Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Center Conway, NH
  • NPI 1700955028
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2020.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1134730765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186142",
            "telephone_number": "603-447-2111",
            "fax_number": "603-447-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186142",
            "telephone_number": "603-447-2111",
            "fax_number": "603-447-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIRIA",
        "first_name": "MARIA",
        "middle_name": "CAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Cameron Evans, DDS
• Christian Eveleth
• Emma Flaherty
• Sharyn Mae Flanagan-Rogers, ARNP
• Sasha Gagne, RN
• Geomed Consultants, Inc.
• Sean Philip Goldman, LCSW
• Adrianna Gomez, WAIVER
• Danielle Goodwin, WAIVER
• Larry Gordon

• All providers in Conway, NH
• Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.