Active NPI
Clarissa Haskins-Maxey, MSW, CSAC
- Clinical Social Worker
- Glen Allen, VA
National Provider Identifier
1821938150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0906016743
- Practice address
- 11357 Nuckols Rd # 2002
Glen Allen, VA 23059-5504 - Phone
- (434) 808-2278
- Fax
- (443) 451-8214
- NPI assigned
- Mar 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103941 | VA | |
| Clinical Social Worker | 1041C0700X | 0906016743 | VA | Primary |
Addresses
Primary practice location
11357 Nuckols Rd # 2002
Glen Allen, VA 23059-5504
Mailing address
11357 Nuckols Rd # 2002
Glen Allen, VA 23059-5504
Phone (434) 808-2278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710103941 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0906016743 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1821938150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11357 NUCKOLS RD # 2002",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595504",
"telephone_number": "434-808-2278",
"fax_number": "443-451-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11357 NUCKOLS RD # 2002",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595504",
"telephone_number": "434-808-2278",
"fax_number": "443-451-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS-MAXEY",
"first_name": "CLARISSA",
"credential": "MSW, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710103941",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0906016743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.