Active NPI
Behnan Maxwell, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1053777177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087481
- Practice address
- 145 E 27TH St Apt 10K
New York, NY 10016-9037 - Phone
- (646) 549-1993
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095506 | NY | |
| Clinical Social Worker | 1041C0700X | 087481 | NY | Primary |
Addresses
Primary practice location
145 E 27TH St Apt 10K
New York, NY 10016-9037
Mailing address
145 E 27TH St Apt 10K
New York, NY 10016-9037
Phone (646) 549-1993
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 |
|---|---|---|---|
| 095506 | NY | MD | Social Worker |
| 087481 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1053777177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E 27TH ST APT 10K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169037",
"telephone_number": "646-549-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E 27TH ST APT 10K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169037",
"telephone_number": "646-549-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "BEHNAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095506",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.