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NPI Code Detail

MEDICARE: DEBRA MAE MAXEY LSCSW, LCAC

MEDICARE:   DEBRA MAE MAXEY  LSCSW, LCAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor7748KS
2101YM0800XMental Health Counselor7748KS
3103TA0400XAddiction (Substance Use Disorder) Psychologist638KS
4104100000XSocial Worker7748KS
51041C0700XClinical Social Worker4724KS

General Provider Information

NPI Number : 1356637672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA MAE MAXEY LSCSW, LCAC
Provider Business Mailing Address
First Line : 155 S 18TH ST
Second Line : SUITE 222
City : KANSAS CITY
State : KS
Zip : 66102-5642
Country : US
Telephone Number : 913-766-4206
Fax Number : 913-766-4210
Provider Business Practice Location Address
First Line : 2121 SW CHELSEA DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-1756
Country : US
Telephone Number : 800-466-2222
Fax Number : 785-232-5172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2011
Last Update Date : 11/15/2022

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