Individual provider Active NPI

Nicole Ann Early-Maxson, LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1467862599
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 12584 Issued in AZ
Practice address
1171 North 67TH Ave
400
Glendale, AZ 85308-6801
Phone
(602) 938-3323
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-12584 AZ
Clinical Social Worker 1041C0700X LCSW 12584 AZ Primary

Addresses

Primary practice location

1171 North 67TH Ave
400
Glendale, AZ 85308-6801

Mailing address

17100 N 67TH Ave Ste 400
Glendale, AZ 85308-3698
Phone (623) 280-8832

Other names 1

  • Nicole Maxson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170712002898 AZ Practitioner - Clinical Social Worker 1850660457 Reassigns benefits to 1 organization
Practice locations: Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19420 N 59TH Ave
Suite C269
Glendale, AZ 85308-2800
Phone (602) 843-5484

19801 N 59TH Ave
Suite 11804
Glendale, AZ 85308-6801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 12584AZMDClinical Social Worker
LCSW-12584AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service CurrentSince Jun 5, 2017 Accepting new patients
Jewish Family & Children'S Service Current Accepting new patients
Jewish Family & Children'S Service CurrentSince Jun 5, 2017 Accepting new patients

Locations

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1467862599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE STE 400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083698",
            "telephone_number": "623-280-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 NORTH 67TH AVE",
            "address_2": "400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086801",
            "telephone_number": "602-938-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY-MAXSON",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12584",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 12584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MAXSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.