Active NPI
Brittany Alexandra Maxwell
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1588371470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117798
- Practice address
- 333 S Beaudry Ave
Los Angeles, CA 90017-1466 - Phone
- (213) 241-1000
- Fax
- (213) 241-3841
- NPI assigned
- Nov 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117798 | CA | Primary |
Addresses
Primary practice location
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Mailing address
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (323) 347-8997
Other practice location 1
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (323) 347-8997
Other practice location 2
27630 Spencer Ct Apt 203
Canyon Country, CA 91387-6855
Phone (323) 347-8997
Other practice location 3
27630 Spencer Ct Apt 203
Canyon Country, CA 91387-6855
Phone (323) 347-8997
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 |
|---|---|---|---|
| 117798 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1588371470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171466",
"telephone_number": "323-347-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171466",
"telephone_number": "213-241-1000",
"fax_number": "213-241-3841"
}
],
"practiceLocations": [
{
"address_1": "333 S Beaudry Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171466",
"country_code": "US",
"telephone_number": "323-347-8997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27630 Spencer Ct Apt 203",
"address_purpose": "LOCATION",
"city": "Canyon Country",
"state": "CA",
"postal_code": "913876855",
"country_code": "US",
"telephone_number": "323-347-8997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27630 Spencer Ct Apt 203",
"address_purpose": "LOCATION",
"city": "Canyon Country",
"state": "CA",
"postal_code": "913876855",
"country_code": "US",
"telephone_number": "323-347-8997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "BRITTANY",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "117798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.