SAMANTHA MAXWELL BA
NPI 1063809929
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since April 17, 2015
1601 2ND ST, SAN RAFAEL, CA 94901(415) 456-6655 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Maxwell Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MAXWELL BA (NPI 1063809929) is an individual addiction (substance use disorder) provider in San Rafael, California and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1063809929
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAMANTHA MAXWELLCredential: BA
Location Address1601 2ND STSan Rafael, CA 94901-2712
Mailing Address1601 2nd StSan Rafael, CA 94901-2712 · (415) 456-6655
Sole ProprietorNo
Enumeration DateApril 17, 2015
NPI 1063809929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1601 2ND ST, San Rafael, CA 94901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1601 2ND ST
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST, #104
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Clinic/Center (Community Health)
1601 2ND ST
SAN RAFAEL, CA 94901
Licensed Vocational Nurse
1601 2ND ST
SAN RAFAEL, CA 94901
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Maxwell's NPI number?

The NPI number for Samantha Maxwell is 1063809929. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Samantha Maxwell located?

Samantha Maxwell practices at 1601 2nd St, San Rafael, CA 94901. The listed phone number is (415) 456-6655.

What is Samantha Maxwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samantha Maxwell was last updated on April 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.