Individual provider Active NPI

Suze Marie Maze, LCSW, CCGC, CEAP

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1780899583
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9615 Issued in SC
Practice address
2331 Fortune Dr
Suite 205
Lexington, KY 40509-4110
Phone
(859) 421-5831
Fax
(859) 402-8084
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9615 SC Primary

Addresses

Primary practice location

2331 Fortune Dr
Suite 205
Lexington, KY 40509-4110

Mailing address

2456 Edgefield Hwy
Aiken, SC 29801-8018
Phone (803) 646-1487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260515000897 SC Practitioner - Clinical Social Worker 1951870203 Reassigns benefits to 1 organization
I20260609003024 GA Practitioner - Clinical Social Worker 1951870203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9615SCMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1780899583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 EDGEFIELD HWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298018018",
            "telephone_number": "803-646-1487",
            "fax_number": "803-646-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 FORTUNE DR",
            "address_2": "SUITE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094110",
            "telephone_number": "859-421-5831",
            "fax_number": "859-402-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE",
        "first_name": "SUZE",
        "middle_name": "MARIE",
        "credential": "LCSW, CCGC, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.