Individual provider Active NPI

Maureen V. Guilfoyle, LICSW

  • Clinical Social Worker
  • Page, AZ
National Provider Identifier
1407875693
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259 Issued in 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
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RLCSW-15081 AZ
Clinical Social Worker 1041C0700X 259 NH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MA2 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
I20210715000139 NC Practitioner - Clinical Social Worker 5193781268 Reassigns benefits to 4 organizations
I20260327000629 MA Practitioner - Clinical Social Worker 5193781268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 4688655517, 115 clinicians

Practice addresses (Care Compare)

502 Red Banks Rd
Suite a
Greenville, NC 27858-5751
Phone (252) 758-4810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RLCSW-15081AZMDClinical Social Worker
259NHMDRegistered Dietitian
1015351MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Dawn Psychiatric Services, PLLC CurrentSince Oct 11, 2021 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Clinical CurrentSince Jun 14, 2024 Accepting new patients
Eastern Psychiatric & Behavioral Specialists, PLLC Clinical CurrentSince Apr 26, 2021 Accepting new patients
Anesthesia Services Associates, PLLC Past Accepting new patients
Merrimack Valley Counseling Association Clinical PastSince Jan 22, 2001 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

1704 E Arlington Blvd
Ste A
Greenville, NC 27858
Phone 2527564899 ext. 208

1704 E Arlington Blvd
Ste B
Greenville, NC 27858
Phone (252) 756-4899

502 Red Banks Rd
Ste A
Greenville, NC 27858
Phone (252) 758-4810

111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390

Interoperability endpoints

  • Direct secure messaging: mpsc.maureenguilfoyle@114018.advancedmd-direct.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1407875693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400790",
            "telephone_number": "928-645-5113",
            "fax_number": "928-645-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 S LAKE POWELL BLVD",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400790",
            "telephone_number": "928-645-5113",
            "fax_number": "928-645-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILFOYLE",
        "first_name": "MAUREEN",
        "middle_name": "V.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "RLCSW-15081",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Page, AZ

Sources for this page

Verify at the official NPI Registry.