COLLEEN DAVIS MAXWELL LCSW
NPI 1609513704
Social Worker - Clinical in Shorewood, WI

Active since May 19, 2022PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
4027 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 585-1620 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colleen Davis Maxwell Lcsw NPPES

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

COLLEEN DAVIS MAXWELL LCSW (NPI 1609513704) is an individual clinical provider in Shorewood, Wisconsin, licensed in Wisconsin (9883) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2015).

NPPES Registry Identity

NPI1609513704
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOLLEEN DAVIS MAXWELLCredential: LCSW
Location Address4027 N OAKLAND AVEShorewood, WI 53211-2356
Mailing Address4027 N Oakland AveShorewood, WI 53211-2356 · (414) 585-1620
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2015
Enumeration DateMay 19, 2022
NPPES CertifiedMay 19, 2022
NPI 1609513704 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 WI · 9883
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.

4027 N OAKLAND AVE, Shorewood, WI 53211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Colleen Davis Maxwell Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173904745
PECOS Enrollment IDI20220714001391
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 3

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

Family Medicine
4027 N OAKLAND AVE
SHOREWOOD, WI 53211
Family Medicine
4027 N OAKLAND AVE
SHOREWOOD, WI 53211
Nurse Practitioner (Family)
4027 N OAKLAND AVE
SHOREWOOD, WI 53211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609513704, enumerated as an "individual" on May 19, 2022.

The provider is located at 4027 N OAKLAND AVE SHOREWOOD, WI 53211 and the phone number is (414) 585-1620.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.