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1427257195 NPI number — LEAH A MAXWELL LCSW

NPI Number: 1427257195
Health Care Provider/Practitioner: LEAH A MAXWELL LCSW

Information about “1427257195” NPI (LEAH A MAXWELL LCSW) exists in 1427257195 in HTML format HTML  |  1427257195 in plain Text format TXT  |  1427257195 in PDF (Portable Document Format) PDF  |  1427257195 in an XML format XML  formats.

NPI Number : 1427257195 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427257195",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAXWELL",
    "FirstName": "LEAH",
    "MiddleName": "A",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUFFIN",
    "OtherFirstName": "LEAH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "482 CONGRESS ST STE 301",
    "SecondLineMailingAddress": "STEPPING STONES",
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04101-3437",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-866-0113",
    "MailingAddressFaxNumber": "207-775-2255",
    "FirstLinePracticeLocationAddress": "6 STATE ST STE 310",
    "SecondLinePracticeLocationAddress": "STEPPING STONES",
    "PracticeLocationAddressCityName": "BANGOR",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04401-5133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-866-1113",
    "PracticeLocationAddressFaxNumber": "207-941-8942",
    "EnumerationDate": "07/13/2007",
    "LastUpdateDate": "09/09/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "MC11160",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LC12169",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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