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

Individual provider Social Worker · NPI 1124415302

Mary Petrina Goodwin, LCSW, LCAS-A is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2014, 12 years ago. Practices with Capeside Psychiatry PLLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3825 Market St Ste 4
Wilmington, NC 28403-1426
Phone: (910) 777-5575
Fax: (910) 777-5273
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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 C010557 (NC)
Social Worker Taxonomy 104100000X · Licence C010557 (NC)

Record details

NPI number1124415302
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCAS-A
Sole proprietorYes
NPI enumeratedApril 24, 2015
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Capeside Psychiatry Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilmington