Active NPI
Maureen V. Guilfoyle, LICSW
- Clinical Social Worker
- Page, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 259
- 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, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| 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 |
| Anesthesia Services Associates, PLLC | Past | Accepting new patients | |
| Merrimack Valley Counseling Association | Clinical | 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
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
- 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.
-
dba Mindpath Health, a practice of, MindPath Care Centers, North Carolina,
- Psychiatry Physician
- Durham, NC
- NPI 1508803214
Clinical
-
- Medical Specialty Clinic/Center
- Greenville, NC
- NPI 1558426007
Clinical
-
- Community/Behavioral Health Agency
- Kinston, NC
- NPI 1245637701
-
dba Comprehensive Pain Specialists
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
- NPI 1376054213
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.