Eboni Maxwell

Case Manager/Care Coordinator · Vallejo, CA

Individual Active NPI

NPI number 1609422740

Practice location

1119 Kentucky St
Vallejo, CA 94590-5201
Phone
(415) 879-6071

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NPI record

NPI
1609422740
Entity type
Individual (Type 1)
Enumeration date
August 14, 2019
Last updated
September 27, 2024
Certified
September 27, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Counselor 101Y00000X — —
Mental Health Counselor 101YM0800X — —
Community Health Worker 172V00000X — —

About Eboni Maxwell

Eboni Maxwell is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1119 Kentucky St, Vallejo, CA 94590-5201. The NPI number 1609422740 was assigned on August 14, 2019 and the record was last updated on September 27, 2024.

Frequently asked questions

What is the NPI number of Eboni Maxwell?

The NPI number is 1609422740.

What is the phone number of Eboni Maxwell?

The phone number listed for the practice location is (415) 879-6071.

Where is Eboni Maxwell located?

1119 Kentucky St, Vallejo, CA 94590-5201.

What is the taxonomy code for Eboni Maxwell?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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