Jared F Maxwell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6283 Issued in OK

Practice address

921 NE 14TH St.
Oklahoma City, OK 73107-6437

Phone

(405) 213-4678

Fax

(405) 606-8488

NPI assigned

Nov 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1598066532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 NE 14TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-213-4678",
            "fax_number": "405-606-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 NE 14TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076437",
            "telephone_number": "405-213-4678",
            "fax_number": "405-606-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JARED",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nichole Sullivan Maxwell, MA LPC
• Baylor Trent Maxwell, DO
• Brian David Maxwell, MD
• Brittany Maxwell
• Jaiden A Maxwell
• Kevin J Maxwell, PA
• Rebekah Lea Maxwell, RD
• Scott W Maxwell, M.D.
• Whittnee Renee Maxwell, LPN
• Brittney May, BA OF SCIENCE

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.