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NPI Code Detail

MEDICARE: VIRGINIA MAXWELL LICSW

MEDICARE: VIRGINIA MAXWELL LICSW
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
11041C0700XClinical Social Worker1023318MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20300010OTHERMAMBHP

General Provider Information

NPI Number : 1962528786
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA MAXWELL LICSW
Provider Business Mailing Address
First Line : 5 LAUREL RD
Second Line :
City : HAYDENVILLE
State : MA
Zip : 01039-9732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 PLEASANT ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-4127
Country : US
Telephone Number : 413-584-6855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 01/02/2020

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Directions to “ VIRGINIA MAXWELL LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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