Individual provider Active NPI

Joseph Russell Maiden Sr., LICSW

  • Clinical Social Worker
  • Charleston, SC
National Provider Identifier
1487665972
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08537 Issued in MD
Practice address
204 W Hill Blvd
437 Medical Operations Squadron
Charleston, SC 29404
Phone
(843) 963-6972
NPI assigned
Aug 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 LC302707 DC
Clinical Social Worker 1041C0700X 08537 MD Primary

Addresses

Primary practice location

204 W Hill Blvd
437 Medical Operations Squadron
Charleston, SC 29404

Mailing address

9331 Ayscough Rd
Summerville, SC 29485-8676
Phone (843) 821-7291

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

LicenseStateTypeSpecialty
LC302707DCMDClinical Social Worker
08537MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487665972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 AYSCOUGH RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858676",
            "telephone_number": "843-821-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W HILL BLVD",
            "address_2": "437 MEDICAL OPERATIONS SQUADRON",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29404",
            "telephone_number": "843-963-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDEN",
        "first_name": "JOSEPH",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302707",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.