Marina Jane Maxwell

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

25 Kniskern Ave
Mechanicville, NY 12118-2124

Phone

(518) 664-7336

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1619574142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KNISKERN AVE",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121182124",
            "telephone_number": "518-664-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KNISKERN AVE",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121182124",
            "telephone_number": "518-664-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MARINA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Mack
• Penny Beth Martin, R.N.
• Raymond Joseph Martin, R.PH.
• Tamar Jean Martin, PHARM.D.
• Abby Christine Mastroianni, RN
• Kathy McGuire, LMSW
• Maria Valnea McGuire, PHARMD
• Meghan Ruth McKeighan
• Jean Patrice McLaughlin, RN
• Mechanicville City School District

• School Social Worker in Mechanicville, NY
• Providers in Mechanicville, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.