MAXWELL KIRN (NPI# 1962803627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962803627 |
| Entity Type | Individual |
| Full Name | MAXWELL KIRN |
| Credential | MSW, LCSWA |
| Practice Address |
6512 Six Forks Rd Suite 200 Raleigh NC 27615-6561 |
| Practice Telephone | 9193078165 |
| Practice Fax Number | 9193078167 |
| Mailing Telephone | 9193078165 |
| Mailing Fax Number | 9193078167 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P007525 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CAQH IDENTIFYER | 12740375 | 01 |
| Street Address |
6512 SIX FORKS RD SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-6561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245287416 | Lawrence Blelloch | Physician Assistant | 6512 Six Forks Rd, Suite 102b, Raleigh, NC 27615-6561 | 2006-05-31 |
| 1043767247 | Comprehensive Health Solutions | Community/Behavioral Health | 6512 Six Forks Rd, Ste # 402, Raleigh, NC 27615-6561 | 2016-09-06 |
| 1194270744 | Walt Fritz, Lpc, LLC | Counselor | 6512 Six Forks Rd, Suite 104, Raleigh, NC 27615-6561 | 2016-08-23 |
| 1548714108 | Jaleh Neshat | Home Health | 6512 Six Forks Rd, Ste. 205, Raleigh, NC 27615-6561 | 2016-08-11 |
| 1487007563 | Vida Counseling, Pllc | Counselor | 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 | 2016-07-13 |
| 1144686130 | Anna Clare Smith | Social Worker | 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 | 2016-01-07 |
| 1104222322 | Lauren Lambertus Warren | Counselor | 6512 Six Forks Rd, Suite 200, Raleigh, NC 27615-6561 | 2014-11-16 |
| 1912316084 | Phillip Michael Shoe | Counselor | 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 | 2014-08-04 |
| 1215355896 | Kristin Mastro | Counselor | 6512 Six Forks Rd, Suite 403b, Raleigh, NC 27615-6561 | 2014-04-01 |
| 1134556186 | Assurance Home Care LLC | In Home Supportive Care | 6512 Six Forks Rd, Suite 502b, Raleigh, NC 27615-6561 | 2013-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333516 | Susan Silberman | Social Worker | 8480 Honeycutt Rd Ste 200, Raleigh, NC 27615-2261 | 2020-10-09 |
| 1427665074 | Arshiya F Siddiqui | Social Worker | 12900 Saxon Way, Raleigh, NC 27613-5753 | 2020-09-28 |
| 1427661784 | Priscilla Janine James | Social Worker | 913 Haynes St, Raleigh, NC 27604-1463 | 2020-08-26 |
| 1730791443 | Robin Hotard Roche | Social Worker | 3209 Clandon Park Dr, Raleigh, NC 27613-8839 | 2020-08-24 |
| 1124639786 | Richetta White | Social Worker | 2921 Berkeley Springs Pl, Raleigh, NC 27616-6645 | 2020-08-16 |
| 1356950349 | Rachel Elizabeth Zarcone | Social Worker | 702 Van Buren Rd, Raleigh, NC 27604-2368 | 2020-07-27 |
| 1881202794 | Nikki Atkins | Social Worker | 3125 Poplarwood Ct Ste 211, Raleigh, NC 27604-6445 | 2020-07-16 |
| 1770100547 | Flourish Mental Health Pllc | Social Worker | 8307 Six Forks Rd Ste 201, Raleigh, NC 27615-3768 | 2020-06-28 |
| 1235756057 | Amy Boiselle Fitzgerald | Social Worker | 524 S Boylan Ave, Raleigh, NC 27603-2130 | 2020-06-27 |
| 1639798200 | Tatiana Alicia Hinton | Social Worker | 3117 Poplarwood Ct Ste 350, Raleigh, NC 27604-6446 | 2020-04-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.