LAURA MAXWELL (LICSW) – Clinical Social Worker, NPI 1003261470

LAURA MAXWELL (LICSW) is a healthcare provider. based in Hibbing, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 15962 (MN). The NPI Number for LAURA MAXWELL (LICSW) is 1003261470

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LAURA MAXWELL (LICSW)
NPI
1003261470
Phone
(218) 362-6483
Address
750 E 34TH ST
Enumeration Date
4 May 2016
Last Update Date
4 May 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2184402066
Graduation Year
2012 (14 years ago)
PAC ID
0547559577
Group Practice PAC ID
1153389242
Professional Enrollment ID
I20160516000656
Address ID
MN557464716HI301XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for LAURA MAXWELL (LICSW)

  • Fairview Range Medical Center, 750, East 34th Street, Hibbing, Saint Louis County, Minnesota, 55746, United States

    HIBBING, MN 557462341

    Phone: (218) 362-6483

    Fax: (218) 362-6702

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160516000656IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153389242View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical PsychologistMN
Mental Health CounselorWI
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Is there an official ID for LAURA MAXWELL (LICSW) in U.S. healthcare records?
The official identifier for LAURA MAXWELL (LICSW) is NPI 1003261470.
Is there an active status for LAURA MAXWELL (LICSW)?
For scheduling context, LAURA MAXWELL (LICSW) is shown as active in the registry.
What clinical focus is listed for LAURA MAXWELL (LICSW)?
At a glance, LAURA MAXWELL (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with LAURA MAXWELL (LICSW)?
Directory geography for LAURA MAXWELL (LICSW) centers on Hibbing, Minnesota.
When was this NPI issued?
Enumeration for LAURA MAXWELL (LICSW) is noted as May 4, 2016 where the registry provides it.

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