Individual provider Active NPI

Mary Mainville, MSW, MED,LCSW

  • Clinical Social Worker
  • Friendswood, TX
National Provider Identifier
1295051530
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989
Phone
(281) 993-3733
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 Primary

Addresses

Primary practice location

308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989

Mailing address

98 Lynn Ave
Hull, MA 02045-2267

Other practice location 1

98 Lynn Ave
Hull, MA 02045-2267
Phone (617) 471-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140220001722 MA Practitioner - Clinical Social Worker 3678703535 Reassigns benefits to 1 organization
I20200928001737 TX Practitioner - Clinical Social Worker 3678703535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1941 E Rd
Ut Psychiatry Outpatient Clinic
Houston, TX 77054-6010
Phone (713) 486-2700

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
67297TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Apr 20, 2024 Accepting new patients
Ut Physicians CurrentSince Apr 20, 2024 Accepting new patients
Northeast Health Services, LLC CurrentSince May 23, 2014 Accepting new patients
Uhs of Westwood Pembroke Inc Past Accepting new patients

Locations

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

1941 East Rd
Houston, TX 77054
Phone (713) 486-2500

6410 Fannin St
Houston, TX 77030
Phone (713) 500-5800

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1295051530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LYNN AVE",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020452267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 110",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "281-993-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Lynn Ave",
            "address_purpose": "LOCATION",
            "city": "Hull",
            "state": "MA",
            "postal_code": "020452267",
            "country_code": "US",
            "telephone_number": "617-471-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAINVILLE",
        "first_name": "MARY",
        "credential": "MSW, MED,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.