Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Charles Maynard, LLMSW

Individual provider Clinical Social Worker · NPI 1669243747

Andrew Charles Maynard, LLMSW is a Clinical Social Worker in Grand Rapids, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 376 E Apple Ave, Muskegon, MI 49442-3466 — (231) 724-1111

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1669243747
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

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