Maryellen McIlwain Mayfield, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4109C Issued in AL

Practice address

398 Ashe Blvd
Sheffield, AL 35660-1729

Phone

(256) 383-1499

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1548769920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E 1ST ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741601",
            "telephone_number": "256-762-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 ASHE BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356601729",
            "telephone_number": "256-383-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "MARYELLEN",
        "middle_name": "MCILWAIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4109C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Aldridge MD (NW Alabama Practice Management LLC)
• Martin Foot Specialists, Inc
• Kent S Martin, D.P.M.
• Christopher Samuel Martinez, LMT
• Misty Maxwell, CRNP
• Jerrel Brad McAnalley, M.D.
• Marilyn D McAnalley, CRNP
• Pamela D McGarrah, MD
• Mark Ray McIlwain, DMD, MD
• David Parks McKinley Sr., M.D.,

• Clinical Social Worker in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.