Individual provider Active NPI

Marion Easton Alburger Gittings, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1467519132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005205 Issued in NC
Practice address
5009A Wrightsville Ave
Wilmington, NC 28403-7045
Phone
(910) 791-5575
Fax
(910) 791-5576
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C005205 NC Primary
Clinical Social Worker 1041C0700X 0904005844 VA

Addresses

Primary practice location

5009A Wrightsville Ave
Wilmington, NC 28403-7045

Mailing address

313 Apollo Dr
Wilmington, NC 28405-3903
Phone (910) 470-2387

Other identifiers 2

IdentifierTypeStateIssuer
142V7OtherNCBCBS
6106314MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000587 NC Practitioner - Clinical Social Worker 1759428501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1508 Military Cutoff Rd
Suite 205
Wilmington, NC 28403-5730
Phone (910) 470-2387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005205NCMDClinical Social Worker
0904005844VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awakening Wellness Professional Corporation Clinical CurrentSince Aug 18, 2012 Accepting new patients
Inner Solutions Clinical Past Accepting new patients

Locations

1508 Military Cutoff Rd
Ste 205
Wilmington, NC 28403
Phone (910) 470-2387

1133 Military Cutoff Rd
Ste 200
Wilmington, NC 28405
Phone (910) 791-5575

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467519132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 APOLLO DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053903",
            "telephone_number": "910-470-2387",
            "fax_number": "910-791-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009A WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037045",
            "telephone_number": "910-791-5575",
            "fax_number": "910-791-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTINGS",
        "first_name": "MARION",
        "middle_name": "EASTON ALBURGER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005205",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "142V7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106314",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.