Individual provider Active NPI

Cynthia K Maxwell, LSCSW

  • Clinical Social Worker
  • Emporia, KS
National Provider Identifier
1053473249
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3975 Issued in KS
Practice address
9 W 5TH Ave
Emporia, KS 66801-4035
Phone
(620) 481-6036
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3975 KS Primary

Addresses

Primary practice location

9 W 5TH Ave
Emporia, KS 66801-4035

Mailing address

814 Sunrise Dr
Emporia, KS 66801-3433
Phone (620) 757-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151223001259 KS Practitioner - Clinical Social Worker 2365743994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9 W 5TH Ave
Emporia, KS 66801-4035
Phone (620) 481-6036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3975KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Light Counseling Services LLC CurrentSince Jul 24, 2015 Accepting new patients

Locations

9 W 5th Ave
Emporia, KS 66801
Phone (620) 208-6144

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1053473249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SUNRISE DR",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668013433",
            "telephone_number": "620-757-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W 5TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668014035",
            "telephone_number": "620-481-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.