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MAXINE WYLDE LCSW
NPI 1407584659
Social Worker - Clinical in Richmond, VA

Active since August 15, 2022
2501 MONUMENT AVE STE 314, RICHMOND, VA 23220(804) 997-5652 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 6, 2023, Aug 15, 2022 (2 updates tracked since 2022).

About Maxine Wylde Lcsw NPPES

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

MAXINE WYLDE LCSW (NPI 1407584659) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904015765) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1407584659
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAXINE WYLDECredential: LCSW
Location Address2501 MONUMENT AVE STE 314Richmond, VA 23220-2618
Mailing Address2501 Monument Ave Ste 314Richmond, VA 23220-2618 · (804) 997-5652
Phone(804) 997-5652
Sole ProprietorYes
Enumeration DateAugust 15, 2022
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1407584659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904015765
Definition
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.
2501 MONUMENT AVE STE 314, Richmond, VA 23220
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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 Maxine Wylde's NPI number?

The NPI number for Maxine Wylde is 1407584659. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Maxine Wylde located?

Maxine Wylde practices at 2501 Monument Ave Ste 314, Richmond, VA 23220. The listed phone number is (804) 997-5652.

What is Maxine Wylde's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Maxine Wylde was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.