Terrica Maxwell, LGSW

Individual provider Active NPI Social Worker · Winfield, WV

NPI 1245955178 · NPPES record last updated Jul 18, 2023

Key facts

NPI
1245955178
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
BP00946035 (WV)
Practice address
12086 Winfield Rd
Winfield, WV 25213-7902
Phone
(304) 964-3557
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BP00946035WVMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00946035 WV Yes

Addresses

Primary practice location

12086 Winfield Rd
Winfield, WV 25213-7902

Mailing address

12086 Winfield Rd
Winfield, WV 25213-7902

Other providers in Winfield, WV

All providers in Winfield, WV · Social Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.