Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Gerideau, LCSW-A

Individual provider Clinical Social Worker · NPI 1619330453

Mary Gerideau, LCSW-A is a Clinical Social Worker in Lumberton, North Carolina. Qualified in 2012, 14 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2016
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Practice location Address checks out

2003 Godwin Ave Ste C
Lumberton, NC 28358-3149
Phone: (910) 674-4814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P010229 (NC)

Record details

NPI number1619330453
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorYes
NPI enumeratedMarch 30, 2016
Last updated in NPPESMarch 30, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lumberton