Maxwel Joseph Bryant

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW91043 Issued in CA

Practice address

242 N Villa Ave
Willows, CA 95988-2641

Phone

(530) 934-6582

Fax

(530) 934-6592

NPI assigned

Sep 11, 2015

Sex

Male

Sole proprietor

No

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, last updated by the provider on Dec 8, 2023.

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1134597834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N VILLA AVE",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882641",
            "telephone_number": "530-934-6582",
            "fax_number": "530-934-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N VILLA AVE",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882641",
            "telephone_number": "530-934-6582",
            "fax_number": "530-934-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MAXWEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-11",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW91043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Boyes, FNP-BC
• Marc Steven Bracy, MD
• Dedra Ann Brooks, LCSW
• Kimberly Lauren Broussard
• Shelby Rae Bruce
• Denbeigh Lee Burgess
• Jose Alejandro Calderon, B.A.
• California Em-I Medical Services a Medical Corporation
• Sharon Ann Camper, BRN
• Amanda Cano

• All providers in Willows, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.