Elimay Lois Maxwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15046 Issued in FL

Practice address

5245 N University Dr Ste a
Lauderhill, FL 33351-5017

Phone

(954) 993-1578

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fresh Solutions Wellness Services & Consulting, LLC

  • Adult Mental Health Clinic/Center
  • Lauderhill, FL
  • NPI 1386241933
  Medicare reassignment NPD Authorized official
• Fresh Solutions Wellness Services Inc

  • Adult Mental Health Clinic/Center
  • Lauderhill, FL
  • NPI 1740032556
  NPD Authorized official

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1689137341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 N UNIVERSITY DR STE A",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515017",
            "telephone_number": "754-213-1619",
            "fax_number": "954-440-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 N UNIVERSITY DR STE A",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515017",
            "telephone_number": "954-993-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ELIMAY",
        "middle_name": "LOIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117108600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary G Nochimson DC PA
• Mary Seacole Healthcare
• Allison Mason, MS CCC-SLP
• Gregory Mathurin
• Joan Maurice
• Gerald Allen Mayer, OD
• MBN Dental Services
• Sabita McBride
• Kedeen Tashanie McCarthy
• Deidra D McClover, DOULA

• Clinical Social Worker in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.