Provider Demographics
NPI:1356637672
Name:MAXEY, DEBRA MAE (LSCSW, LCAC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:MAE
Last Name:MAXEY
Suffix:
Gender:F
Credentials:LSCSW, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 S 18TH ST
Mailing Address - Street 2:SUITE 222
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-5642
Mailing Address - Country:US
Mailing Address - Phone:913-766-4206
Mailing Address - Fax:913-766-4210
Practice Address - Street 1:2121 SW CHELSEA DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1756
Practice Address - Country:US
Practice Address - Phone:800-466-2222
Practice Address - Fax:785-232-5172
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7748101YA0400X, 101YM0800X, 104100000X
KS638103TA0400X
KS47241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker