Lillie Maria Maxwell

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4963 Donovan Dr
Garfield HTS, OH 44125-2049

Phone

(254) 338-8436

NPI assigned

Apr 30, 2009

Last updated

Jan 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1730323072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 DONOVAN DR",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252049",
            "telephone_number": "254-338-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 DONOVAN DR",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252049",
            "telephone_number": "254-338-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "LILLIE",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "196440",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "196440",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175751001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Marzett
• Monique Renee Mason-Alvies
• Daljinder K Mathaun, RN
• Shila Mathew, M.D.
• Sheila Ann Matosky, CNP
• Tonya Maxwell
• Kim McCabe, M.A.
• Catherine McCausland, OTR/L
• Morgan D McGriff Pace
• Matiah McMichael

• Community Health Worker in Garfield HTS, OH
• Providers in Garfield HTS, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.