MARY PETRINA GOODWIN LCSW, LCAS-A
NPI 1124415302
Social Worker - Clinical in Wilmington, NC
About Mary Petrina Goodwin Lcsw, Lcas-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY PETRINA GOODWIN LCSW, LCAS-A (NPI 1124415302) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (C010557) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Petrina Goodwin Lcsw, Lcas-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Mary Goodwin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 70 clinicians in this Medicare group
Wilmington, NC 28405
- Reassigned Medicare billing, North Carolina enrollment
- 22 clinicians in this Medicare group
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 173 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, North Carolina enrollment
- 712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, NC 28403
WILMINGTON, NC 28403
WILMINGTON, NC 28403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Goodwin's NPI number?
The NPI number for Mary Goodwin is 1124415302. It was assigned to this individual provider in the NPPES registry on April 24, 2015. The provider is also known as Mary Smithe.
Where is Mary Goodwin located?
Mary Goodwin practices at 3825 Market St Ste 4, Wilmington, NC 28403. The listed phone number is (910) 777-5575.
What is Mary Goodwin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Goodwin enrolled in Medicare?
Yes. Mary Goodwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Goodwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Goodwin reassigns Medicare benefits to 4 organizations: Coastal Horizons Center Inc. (Wilmington, NC), Capeside Psychiatry, PLLC (Wilmington, NC), Rha Health Services, Inc (Wilmington, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Goodwin accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mary Goodwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Goodwin was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Petrina Goodwin, LCSW, LCAS-A · NPI 1124415302
Clinical provider in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since April 24, 2015.
## Identity
- **NPI:** 1124415302 (Entity type: Individual)
- **Enumerated:** April 24, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C010557 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3825 MARKET ST STE 4, Wilmington, NC 28403-1426
- **Phone:** (910) 777-5575 · **Fax:** (910) 777-5273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Coastal Horizons Center Inc. (NPI 1982055273, Wilmington, NC); Capeside Psychiatry, PLLC (NPI 1760891980, Wilmington, NC); Rha Health Services, Inc (NPI 1467584953, Wilmington, NC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 6, 2022
- **Other identifiers:** Medicaid 1124415302 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1124415302) · Data from the CMS NPPES public registry.