Healthcare Provider Details

I. General information

NPI: 1649182825
Provider Name (Legal Business Name): ANGEL M MAXWELLSCOTT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 ROWLAND AVE STE 100
SAVANNAH GA
31404-4432
US

IV. Provider business mailing address

2613 13TH ST
GARDEN CITY GA
31408-2327
US

V. Phone/Fax

Practice location:
  • Phone: 12-925-8193
  • Fax: 877-734-1398
Mailing address:
  • Phone: 912-306-7689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number19324
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: