Maureen V. Guilfoyle, LICSW
Individual provider Active NPI Clinical Social Worker · Page, AZ
NPI 1407875693 · NPPES record last updated Nov 5, 2012
Key facts
- NPI
- 1407875693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 259 (NH)
- Practice address
- 463 S Lake Powell Blvd
Page, AZ 86040-0790 - Phone
- (928) 645-5113
- Fax
- (928) 645-3254
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindpath Care Centers North Carolina PLLC
Practice addresses (Care Compare)
502 Red Banks Rd
Suite a
Greenville, NC 27858-5751
Phone (252) 758-4810
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715000139 | NC | Practitioner - Clinical Social Worker | 5193781268 | Reassigns benefits to 4 organizations |
| I20260327000629 | MA | Practitioner - Clinical Social Worker | 5193781268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RLCSW-15081 | AZ | MD | Clinical Social Worker |
| 259 | NH | MD | Registered Dietitian |
| 1015351 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Dawn Psychiatric Services, PLLC | Current |
Accepting new patients | |
| Mindpath Care Centers, North Carolina, PLLC | Clinical | Current |
Accepting new patients |
| Eastern Psychiatric & Behavioral Specialists, PLLC | Clinical | Current |
Accepting new patients |
| Merrimack Valley Counseling Association | Clinical | Past |
Accepting new patients |
| Anesthesia Services Associates, PLLC | Past | Accepting new patients |
Locations
4 Doctors Park
Ste H
Asheville, NC 28801
Phone (828) 633-6070
201 N Spence Ave
Goldsboro, NC 27534
Phone (252) 686-8091
502 Red Banks Rd
Ste A
Greenville, NC 27858
Phone (252) 758-4810
1704 E Arlington Blvd
Ste B
Greenville, NC 27858
Phone (252) 756-4899
1704 E Arlington Blvd
Ste A
Greenville, NC 27858
Phone (252) 756-4899
111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390
Interoperability endpoints
- mpsc.maureenguilfoyle@114018.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RLCSW-15081 | AZ | |
| Clinical Social Worker | 1041C0700X | 259 | NH | Yes |
Addresses
Primary practice location
463 S Lake Powell Blvd
Page, AZ 86040-0790
Mailing address
PO Box 790
Page, AZ 86040-0790
Phone (928) 645-5113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30420970 | Medicaid | NH |
Other providers in Page, AZ
- Mark Ernst Giesecke
- Jeffrey S Gifford
- Todd Glasenapp
- Krishna Chaitanya Gondi
- Michele P Grim
- John R Harlan
- Brittany Lynn Harrison
- Kimberley Heatwole
- Holon Health Great Lakes, P.C.
- Raymond Lee Holsten
All providers in Page, AZ · Clinical Social Worker in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.