Marly A Hinestroza Gaviria, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2801 Neuse Blvd
New Bern, NC 28562-2838

Phone

(252) 670-1683

NPI assigned

Oct 15, 2015

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Familywell PLLC

  • Clinical Social Worker
  • Concord, MA
  • NPI 1396524005

  CT

  Medicare reassignment NPD
• Familywell PLLC

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1174384572
  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1972974095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622838",
            "telephone_number": "252-670-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622838",
            "telephone_number": "252-670-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285622838",
            "country_code": "US",
            "telephone_number": "252-670-1683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Hempstead St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063206204",
            "country_code": "US",
            "telephone_number": "860-443-2896",
            "fax_number": "860-442-5909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Baker Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422124",
            "country_code": "US",
            "telephone_number": "508-658-3489",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINESTROZA GAVIRIA",
        "first_name": "MARLY",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Morris Hines, PT
• Jada Hines
• Marcono Raymond Hines, MD
• Roger W Hines Jr., PT
• Yalonda Michelle Hines, LCSW
• Herbert Hinson, RPH
• Joseph Stephen Hoard IV, DDS
• Andrew Hodge, DO
• Emily Lyn Hodges
• James Marcus Hodges Jr., DDS

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, 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 Sep 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.