Individual provider Active NPI

Debra Mae Maxey, LSCSW, LCAC

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1356637672
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4724 Issued in KS
Practice address
2121 SW Chelsea Dr
Topeka, KS 66614-1756
Phone
(800) 466-2222
Fax
(785) 232-5172
NPI assigned
Jun 24, 2011
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7748 KS
Mental Health Counselor 101YM0800X 7748 KS
Addiction (Substance Use Disorder) Psychologist 103TA0400X 638 KS
Social Worker 104100000X 7748 KS
Clinical Social Worker 1041C0700X 4724 KS Primary

Addresses

Primary practice location

2121 SW Chelsea Dr
Topeka, KS 66614-1756

Mailing address

155 S 18TH St
Suite 222
Kansas City, KS 66102-5642
Phone (913) 766-4206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
638KSMDAddiction (Substance Use Disorder) Psychologist
7748KSMDSocial Worker
4724KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1356637672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S 18TH ST",
            "address_2": "SUITE 222",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025642",
            "telephone_number": "913-766-4206",
            "fax_number": "913-766-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW CHELSEA DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141756",
            "telephone_number": "800-466-2222",
            "fax_number": "785-232-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "DEBRA",
        "middle_name": "MAE",
        "credential": "LSCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "7748",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "7748",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "638",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7748",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.