Maxey, David Joel

Maxey, David Joel is an sole proprietor health care provider with primary practice located at 4741 N Broadway St , Knoxville TN 37918-1793. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maxey, David Joel can be contacted via phone (865) 804-4479.

Contact Information

Primary practice address
4741 N Broadway St Knoxville TN 37918-1793
Phone: (865) 804-4479
Fax: (865) 687-7911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW3801 Tennessee

Profile Details

NPI number 1801895305
LBN Legal business name Maxey, David Joel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Jun 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801895305 NPPES
Tennessee MEDICAID 3924830

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