JUDDEE ANNE MAXWELL, MA, LLP, NCP, LMSW - NPI NUMBER 1164666145

Summary

Provider Name: JUDDEE ANNE MAXWELL, MA, LLP, NCP, LMSW

NPI Number: 1164666145

Clasification: Social Worker (104100000X)

Address:
527 COBB ST
CADILLAC, MI
ZIP 49601

Phone Number: (231) 755-3463



Detailed Information

Juddee Anne Maxwell, MA, LLP, NCP, LMSW is a social worker in Cadillac, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. The assigned NPI number for this provider is 1164666145 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

527 COBB ST
CADILLAC, MI
ZIP 49601-540
Phone: (231) 755-3463

The enumeration date for this NPI number is 4/22/2009 and was last updated on 4/22/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 104100000X Social Worker 6801065016 MI No
2 103TB0200X Psychologist Cognitive & Behavioral 6301005541 MI Yes

NPI Record

No. Field Name Field Value
1 NPI 1164666145
2 Entity Type Code 1
3 Provider Last Name Legal Name MAXWELL
4 Provider First Name JUDDEE
5 Provider Middle Name ANNE
6 Provider Credential Text MA, LLP, NCP, LMSW
7 Provider First Line Business Practice Location Address 527 COBB ST
8 Provider Business Practice Location Address City Name CADILLAC
9 Provider Business Practice Location Address State Name MI
10 Provider Business Practice Location Address Postal Code 496012540
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2317553463
13 Provider Enumeration Date 4/22/2009
14 Last Update Date 4/22/2009
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 104100000X
17 Provider License Number 1 6801065016
18 Provider License Number State Code 1 MI
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 103TB0200X
21 Provider License Number 2 6301005541
22 Provider License Number State Code 2 MI
23 Healthcare Provider Primary Taxonomy Switch 2 Y
24 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.