Kimatra Maxwell

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

344 Main St Ste 9
Fitchburg, MA 01420

Phone

(978) 516-4600

Fax

(978) 516-4601

NPI assigned

Dec 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimatra Louis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 16, 2024 through Sep 16, 2026

Medicare enrollment (NPD)

Not enrolled

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.

• Connecting to Greatness LLC

  • Clinical Social Worker
  • Leominster, MA
  • NPI 1437627908
  NPD Authorized official

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1154864668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014200001",
            "telephone_number": "978-516-4600",
            "fax_number": "978-516-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 MAIN ST STE 9",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-516-4600",
            "fax_number": "978-516-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Main St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "01420",
            "country_code": "US",
            "telephone_number": "978-516-4600 x1",
            "fax_number": "978-516-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KIMATRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMATRA",
            "last_name": "LOUIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lijy Mathew, NP
• Matthew J Matos
• Matson Community Services, Inc.
• Daniel Maurer
• Cathy Maxi, NP
• Veronica Cristina May, LMT
• Beth Kurtz Mazyck, M.D.
• Susan L Mazzola
• Charlotte A McAuley, LMHC LADC1
• Carol Lemay McCarter, LICSW

• Social Worker in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.