Carlene Marcella Maxie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106511 Issued in TX

Practice address

700 E Park Blvd Ste 206
Plano, TX 75074-5472

Phone

(972) 212-9175

NPI assigned

Apr 16, 2025

Sex

Female

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

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connections Wellness Group

  • Mental Health Counselor
  • Plano, TX
  • NPI 1003398421
  Medicare reassignment NPD
• Connections Physicians Group

  • Psychiatry Physician
  • Denton, TX
  • NPI 1841819612
  NPD

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1083400972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745472",
            "telephone_number": "972-212-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIE",
        "first_name": "CARLENE",
        "middle_name": "MARCELLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Andrew Maultsby, D.D.S
• Carolyn G. Maurer, PHD
• Maurice Barnett Geriatric Wellness Center, Inc.
• Kristin Nicole Mauritzen, LPC
• Neghae Mawla, MD
• Courtney Maxwell
• Anniella Alexandra May, LPC
• Chelsie Casandra May
• Linda May, LCSW, LCDC
• Sean Maybery, LPC, LCDC

• Clinical Social Worker in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.