Individual provider Active NPI

Maxine Sutton, MSW, MSTT, LCSW-A

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1316472830
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012903 Issued in NC
Practice address
600 Lynndale CT
Greenville, NC 27858-5443
Phone
(252) 353-8001
Fax
(252) 353-5559
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C012903 NC Primary

Addresses

Primary practice location

600 Lynndale CT
Greenville, NC 27858-5443

Mailing address

600 Lynndale Court
Greenville, NC 27858
Phone (252) 353-8001

Other names 1

  • Max Sutton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710000830 NC Practitioner - Clinical Social Worker 0143689141

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Walden Ridge Dr
Suite 80
Asheville, NC 28803-8598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012903NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Feb 27, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Optum Behavioral Care of North Carolina, P.C. Clinical CurrentSince Feb 27, 2024 Accepting new patients
Psychological Healthcare, PLLC Past Accepting new patients

Locations

1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202

2 Walden Ridge Dr
Ste 80
Asheville, NC 28803
Phone (828) 708-5274

2 Walden Ridge Dr
Ste 90
Asheville, NC 28803
Phone (828) 579-2393

7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1316472830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LYNNDALE COURT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-353-8001",
            "fax_number": "252-353-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LYNNDALE CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585443",
            "telephone_number": "252-353-8001",
            "fax_number": "252-353-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MAXINE",
        "credential": "MSW, MSTT, LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAX",
            "last_name": "SUTTON",
            "credential": "MSW, MSTT, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.