Brian L Maxwell, CACII, NCACI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1301178 Issued in SC

Practice address

23 Daniel Morrall LN
Georgetown, SC 29440-6888

Phone

(843) 344-2975

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1134467061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DANIEL MORRALL LN",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406888",
            "telephone_number": "843-344-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DANIEL MORRALL LN",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406888",
            "telephone_number": "843-344-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "CACII, NCACI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1301178",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "013885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCACI",
            "identifier": "013885",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CACII",
            "identifier": "1301178",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faisal Majeed, M.D
• Matilda Serwaa Malm, M.D
• John J Manning, M.D.
• Kristy Marshall, OTR/L
• Jerry Nell Martin, RN
• Eugene V Mayeaux II, M.D.
• Walter A. Mayo, O.D.
• McCrea Ewart MD PA (Georgetown Vascular Associate)
• McCrea Ewart MD PA (Low Country Surgical Associates)
• Dalzell Ginn McDilda, M.ED.CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.