Individual provider Active NPI

Maryann McCrary, LCSW

  • Clinical Social Worker
  • Pinehurst, NC
National Provider Identifier
1184701583
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004177 Issued in NC
Practice address
100 Magnolia Rd
Suite 2208
Pinehurst, NC 28374-9324
Phone
(910) 528-0991
Fax
(910) 295-1586
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004177 NC Primary

Addresses

Primary practice location

100 Magnolia Rd
Suite 2208
Pinehurst, NC 28374-9324

Mailing address

14 Abington Dr
Pinehurst, NC 28374-9043
Phone (910) 528-0991

Other identifiers 2

IdentifierTypeStateIssuer
6106143MedicaidNC
139C7OtherNCBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000611 NC Practitioner - Clinical Social Worker 3577514199 Practice locations: Pinehurst, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Magnolia Rd
Suite 2208
Pinehurst, NC 28374-9324
Phone (910) 528-0991

14 Abington Dr
Pinehurst, NC 28374-9043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004177NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriele Jones, PHD, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1184701583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ABINGTON DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749043",
            "telephone_number": "910-528-0991",
            "fax_number": "910-295-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAGNOLIA RD",
            "address_2": "SUITE 2208",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749324",
            "telephone_number": "910-528-0991",
            "fax_number": "910-295-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "MARYANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106143",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "139C7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.