Jonathan Wade Maxson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC10720 Issued in ME

Practice address

24 Sweden St
Caribou, ME 04736-2127

Phone

(207) 493-3361

Fax

(207) 492-4889

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aroostook Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399

  Social Worker

  NPD (past)
• Caribou Eyecare, P.a.

  • Optometrist
  • Caribou, ME
  • NPI 1356470645
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861510406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HATCH DR",
            "address_2": "P.O. BOX 1018",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362161",
            "telephone_number": "207-493-3361",
            "fax_number": "207-492-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SWEDEN ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362127",
            "telephone_number": "207-493-3361",
            "fax_number": "207-492-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXSON",
        "first_name": "JONATHAN",
        "middle_name": "WADE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Chandler Marquis, PT
• Abby Denise Martin, PTA
• Kimberly Martin, CNM
• Lazaro Martinez
• Shemily Aby Mathew
• Adeline D McCarty, LCSW
• Peter McCorison, MSW-LCSW
• Donna Marie McCrossin, MA.CCC-SLP
• Vanessa Elizabeth McDougall, FNP
• Megan McKnight, OQMHP-C

• Social Worker in Caribou, ME
• Providers in Caribou, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.