Marie I. Gaines, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009864 Issued in NC

Practice address

511 Middle Rd
Fayetteville, NC 28312-5207

Phone

(910) 897-3000

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1457737991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HIDALGO DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765965",
            "telephone_number": "910-495-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MIDDLE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125207",
            "telephone_number": "910-897-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "MARIE",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OPT",
            "identifier": "17304",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GP",
            "identifier": "830223",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrena Simon Gabriele
• Asevia Gacutan
• Amulya Gade, M.D.
• Venugopal Naidu Gadipudi, M.D.
• Cara Gailey
• Charisse Nicole Gainey, M.E.D. CCC-SLP
• Rayneshia Gainey
• Erik Gaitan
• Donna M Galati, CNM
• Mary Jane B Galendez

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.