Active NPI
Halie Domingue Maxwell, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1033839576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63398
- Practice address
- 1348 Heights Blvd
Houston, TX 77008-4209 - Phone
- (512) 751-3791
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 63398 | TX | Primary |
Addresses
Primary practice location
1348 Heights Blvd
Houston, TX 77008-4209
Mailing address
1348 Heights Blvd
Houston, TX 77008-4209
Phone (512) 751-3791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26734161 | Other | TX | DRIVER'S LICENSE |
Other names 1
- Halie Domingue Maxwell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | halie@dbtcenterhouston.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63398 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1033839576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 HEIGHTS BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770084209",
"telephone_number": "512-751-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 HEIGHTS BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770084209",
"telephone_number": "512-751-3791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "HALIE",
"middle_name": "DOMINGUE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "26734161",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "halie@dbtcenterhouston.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1348 Heights Blvd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770084209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HALIE",
"last_name": "MAXWELL",
"middle_name": "DOMINGUE",
"credential": "HALIE DOMINGUE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.