Maxine C Smolkin, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13839 Issued in MD

Practice address

610 Professional Dr
Suite 255
Gaithersburg, MD 20879-3413

Phone

(240) 683-6202

Fax

(240) 683-6203

NPI assigned

Sep 26, 2012

Last updated

Dec 10, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1164773537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "SUITE 255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793413",
            "telephone_number": "240-683-6202",
            "fax_number": "240-683-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "SUITE 255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793413",
            "telephone_number": "240-683-6202",
            "fax_number": "240-683-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLKIN",
        "first_name": "MAXINE",
        "middle_name": "C",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "13839",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Terrence Smith
• Precious Kiesha Smith
• Reginald Orlanda Smith, BSN,RN, MBA,JD
• Sandra Galliani Smith, LCPC
• Tiffani Smithson, LCSW-C
• Johanna E Smoot, LCPC
• Shanel Smtith
• Snapdragon Wellness
• Makiyala Snead
• Stuart R Snyder, DPM

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.