MARY PETRINA GOODWIN LCSW, LCAS-A
NPI 1124415302
Social Worker - Clinical in Wilmington, NC

Q: 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.

Q: What is Mary Goodwin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: 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.

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment

3825 MARKET ST STE 4, WILMINGTON, NC 28403(910) 777-5575(910) 777-5273 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2022, Sep 26, 2019, May 20, 2019 and 1 more (4 updates tracked since 2017).

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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

NPI1124415302

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY PETRINA GOODWINCredential: LCSW, LCAS-A

Location Address3825 MARKET ST STE 4Wilmington, NC 28403-1426

Mailing Address3825 Market St Ste 4Wilmington, NC 28403-1426 · (910) 777-5575 · Fax (910) 777-5273

Phone(910) 777-5575

Fax(910) 777-5273

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 24, 2015

Last NPPES UpdateMay 6, 20224 updates tracked since enumeration

NPPES CertifiedMay 6, 2022

✔ NPI 1124415302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C010557

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License C010557 (NC)

3825 MARKET ST STE 4, Wilmington, NC 28403

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Other Names 1

Former Name (1)Mary Smithe

Other Identifiers 1

Medicaid1124415302NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456684810

PECOS Enrollment IDI20190618000671

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. CATHERINE ELIZABETH FULOP LCSW, LCAS

Social Worker (Clinical)