Individual provider Active NPI

Teresa Maxwell, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1376952614
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12898 Issued in LA
Practice address
422 Colonial Dr
Baton Rouge, LA 70806-6505
Phone
(225) 922-0445
Fax
(225) 922-2658
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12898 LA Primary
Case Manager/Care Coordinator 171M00000X
School Social Worker 1041S0200X 12898 LA

Addresses

Primary practice location

422 Colonial Dr
Baton Rouge, LA 70806-6505

Mailing address

PO Box 66558
Baton Rouge, LA 70896-6558
Phone (225) 922-0445

Other practice location 1

1606 S Sandra Ave
Gonzales, LA 70737-3934
Phone (850) 554-9709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240403003424 LA Practitioner - Mental Health Counselor 4880032234 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12898LAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Human Services District Clinical CurrentSince Feb 5, 2024 Accepting new patients
Capital Area Human Services District CurrentSince Feb 5, 2024 Accepting new patients
Capital Area Human Services District CurrentSince Feb 5, 2024 Accepting new patients
Capital Area Human Services District CurrentSince Feb 5, 2024 Accepting new patients
Capital Area Human Services District Past Accepting new patients
Capital Area Human Services District School Based Services Past Accepting new patients

Locations

4615 Government St
Bldg 2
Baton Rouge, LA 70806
Phone (225) 922-0445

7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807
Phone (225) 359-9315

2751 Wooddale Blvd
Ste A
Baton Rouge, LA 70805
Phone (225) 925-1906

1056 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 621-5770

Organizations & group practices 6

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1376952614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66558",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966558",
            "telephone_number": "225-922-0445",
            "fax_number": "225-922-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 COLONIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066505",
            "telephone_number": "225-922-0445",
            "fax_number": "225-922-2658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606 S Sandra Ave",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707373934",
            "country_code": "US",
            "telephone_number": "850-554-9709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "TERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12898",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "12898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.