Maxine Marshall, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23360 Issued in MD

Practice address

13717 Petrel St
Clarksburg, MD 20871-3403

Phone

(240) 356-3966

NPI assigned

Nov 28, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mom Works LLC

  • Clinical Social Worker
  • Oakland, MD
  • NPI 1922977503
  NPD Authorized official
• Slate Clinical Counseling and Consultation LLC

  • Clinical Social Worker
  • Clarksburg, MD
  • NPI 1639857329
  NPD Authorized official
• The Foundation Schools

  • Local Education Agency (LEA)
  • Gaithersburg, MD
  • NPI 1972049724
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1306350467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13717 PETREL ST",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13717 PETREL ST",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713403",
            "telephone_number": "240-356-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MAXINE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lou Jr., PT, DPT
• Rebecca Lou, PT, DPT
• Nagender Rao Madavaram
• Radhika Jayaraj Manikumar, M.D.
• Marshall Clinical Social Work
• Maryland CVS Pharmacy LLC
• Shelah Maul
• James Mazjanis, CRNA
• Valentine E Mbogne
• Maureen Laura McAllister, BS, E-RYT 500, YACEP

• Clinical Social Worker in Clarksburg, MD
• Providers in Clarksburg, 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 Feb 18, 2025; 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.