Active NPI
Susan Apanof Maxwell, MSW
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1467553511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR013124
- Practice address
- 17 Woodlawn Ave
157 South Lake Avenue
Albany, NY 12208-3225 - Phone
- (518) 438-0461
- Fax
- (518) 459-9780
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR013124 | NY | Primary |
Addresses
Primary practice location
17 Woodlawn Ave
157 South Lake Avenue
Albany, NY 12208-3225
Mailing address
17 Woodlawn Ave
157 South Lake Avenue
Albany, NY 12208-3225
Phone (518) 438-0461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR013124 | Other | NY | NYS SOCIAL WORK CERTIFICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR013124 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467553511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WOODLAWN AVE",
"address_2": "157 SOUTH LAKE AVENUE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083225",
"telephone_number": "518-438-0461",
"fax_number": "518-459-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WOODLAWN AVE",
"address_2": "157 SOUTH LAKE AVENUE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083225",
"telephone_number": "518-438-0461",
"fax_number": "518-459-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "SUSAN",
"middle_name": "APANOF",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR013124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS SOCIAL WORK CERTIFICA",
"identifier": "PR013124",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.