Madrian Glover Garrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001600 Issued in NC

Practice address

803 Stamper Rd Ste G
Fayetteville, NC 28303-4193

Phone

(910) 223-7114

Fax

(910) 223-0098

NPI assigned

Apr 13, 2007

Last updated

Oct 21, 2019By 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

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KV Consultants and Associates IncGroup PAC ID 0648566653, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• KV Consultants & Associates Inc

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1700856788
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1891910113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 FAIRFIELD CIR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766607",
            "telephone_number": "910-550-3803",
            "fax_number": "910-550-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 STAMPER RD STE G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034193",
            "telephone_number": "910-223-7114",
            "fax_number": "910-223-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRICK",
        "first_name": "MADRIAN",
        "middle_name": "GLOVER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106227",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Marie Garrastegui
• Joy Garrett
• Kenyette Sheree Garrett, MSW, LCSWA
• Madelaine Garrett, DPT
• Michaela Garrett
• Madilyn Mackenzie Garrison
• Tenesa Garvin, PHARMD
• Gary B Garison M.D. P.a.
• Jamie Gaskin, LPC
• Melissa Gaskins, CADC-I, CPSS

• 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 Oct 21, 2019; 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.

Verify at the official NPI Registry.