Individual provider Active NPI

Sandra Maxey, M.A., L.C.S.W.

  • Social Worker
  • Charleston, WV
National Provider Identifier
1972742625
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CP00812168 Issued in WV
Practice address
200 Bradford St
Charleston, WV 25301-1925
Phone
(304) 347-9818
Fax
(304) 347-9822
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CP00812168 WV Primary

Addresses

Primary practice location

200 Bradford St
Charleston, WV 25301-1925

Mailing address

200 Bradford St
Charleston, WV 25301-1925
Phone (304) 347-9818

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP00812168WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kanawha Valley Center Inc Past Accepting new patients
Kanawha Valley Center Inc Past Accepting new patients

Organizations & group practices 2

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1972742625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADFORD ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011925",
            "telephone_number": "304-347-9818",
            "fax_number": "304-347-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRADFORD ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011925",
            "telephone_number": "304-347-9818",
            "fax_number": "304-347-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "M.A., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "CP00812168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.