Provider Demographics
NPI:1609342336
Name:LEBEL, MAXINE SCHROEDER (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MAXINE
Middle Name:SCHROEDER
Last Name:LEBEL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:MAXINE
Other - Middle Name:F
Other - Last Name:SCHROEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1821 HILLANDALE RD STE 1B-230
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2659
Mailing Address - Country:US
Mailing Address - Phone:984-600-7577
Mailing Address - Fax:
Practice Address - Street 1:209 LLOYD ST STE 230
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1855
Practice Address - Country:US
Practice Address - Phone:984-600-7577
Practice Address - Fax:844-444-0749
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-20
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0151891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical