Active NPI
Muriel Maxwell, LCSW
- Clinical Social Worker
- Bridgeport, CT
National Provider Identifier
1467927251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008152
- Practice address
- 3715 Main St Ste 402
Bridgeport, CT 06606-3611 - Phone
- (203) 981-5126
- NPI assigned
- Oct 8, 2018
- Last updated
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008152 | CT | |
| Clinical Social Worker | 1041C0700X | 008152 | CT | Primary |
Addresses
Primary practice location
3715 Main St Ste 402
Bridgeport, CT 06606-3611
Mailing address
3715 Main St Ste 402
Bridgeport, CT 06606-3611
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008152 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muriel Maxwell LCSW LLC | Mental Health | Current | Accepting new patients |
Locations
3715 Main St
Ste 402
Bridgeport, CT 06606
Phone (203) 543-7151
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1467927251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 MAIN ST STE 402",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066063611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 MAIN ST STE 402",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066063611",
"telephone_number": "203-981-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "MURIEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "008152",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.