Active NPI
Teresita Maxey, LCSW
- Clinical Social Worker
- Greensboro, NC
National Provider Identifier
1083987333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015651
- Practice address
- 3503 Darden Rd
Greensboro, NC 27407-6753 - Phone
- (336) 580-2106
- NPI assigned
- Feb 16, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C015651 | NC | Primary |
Addresses
Primary practice location
3503 Darden Rd
Greensboro, NC 27407-6753
Mailing address
3503 Darden Rd
Greensboro, NC 27407-6753
Phone (336) 580-2106
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 |
|---|---|---|---|
| C015651 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1083987333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 DARDEN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274076753",
"telephone_number": "336-580-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 DARDEN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274076753",
"telephone_number": "336-580-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "TERESITA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-16",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Michael T Mattingly, MD
- Rebecca Murrell Mattocks, PT
- Christopher Alan Mauer
- Maurice K. Kpeglo (First Aid Emergency Clinic)
- Jacqueline Fungayi Mawoneke, NP
- Maxim Habilitation Services, LLC
- Maxim Healthcare Services, Inc
- Maxim Healthcare Services, Inc.
- Maxwell Home Care Services LLC
- Barri Ann Maxwell, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.