Active NPI
Cassie Lynn Maxwell
- Clinical Social Worker
- Chalmette, LA
National Provider Identifier
1548606288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12309
- Practice address
- 2626 Charles Dr
Chalmette, LA 70043-3779 - Phone
- (504) 278-4006
- Fax
- (504) 278-4007
- NPI assigned
- May 21, 2013
- Last updated
- Apr 4, 2019
- 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 | 12309 | LA | Primary |
Addresses
Primary practice location
2626 Charles Dr
Chalmette, LA 70043-3779
Mailing address
2111 S Carrollton Ave
New Orleans, LA 70118-2950
Phone (986) 778-1545
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 |
|---|---|---|---|
| 12309 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TGC Learning Center | Past | Accepting new patients |
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.
-
- Non-emergency Medical Transport (VAN)
- Chalmette, LA
- NPI 1982909511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1548606288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701182950",
"telephone_number": "986-778-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 CHARLES DR",
"city": "CHALMETTE",
"state": "LA",
"postal_code": "700433779",
"telephone_number": "504-278-4006",
"fax_number": "504-278-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "CASSIE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "12309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chalmette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.