Sean Anthony Maxwell

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

178 Highway 321 Bypass N.
Winnsboro, SC 29180

Phone

(803) 635-2335

Fax

(803) 653-9695

NPI assigned

Oct 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfield Behavioral Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winnsboro, SC
  • NPI 1487665055
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1023651957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291800388",
            "telephone_number": "803-635-2335",
            "fax_number": "803-635-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 321 BYPASS N.",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "803-635-2335",
            "fax_number": "803-653-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SEAN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Denise Lawson
• Shnita M Lee, B.A., M.A.
• Lifeline of Fairfield
• Sharon Marion Lovelace
• Map Project LLC
• William Rupert McCamy Sr.
• Medical University Hospital Authority
• Mihs of Winnsboro, LLC
• Rebecca Rowell Munger, DNP, NP-C
• Aimee G Newsom, NP

• Peer Specialist in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Peer Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.