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

Individual provider Clinical Social Worker · NPI 1912206814

Jennifer L Maxwell, LCSW is a Clinical Social Worker in Wauwatosa, Wisconsin. Qualified in 2005, 21 years ago. Practices with Shore Counseling and Consulting Clinic SC, a 14-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Licensed in
WI
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1220 Dewey Ave
Wauwatosa, WI 53213-2504
Phone: (414) 454-6514
Fax: (414) 454-6751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7733-123 (WI)

Record details

NPI number1912206814
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 18, 2011
Last updated in NPPESFebruary 14, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Shore Counseling And Consulting Clinic Sc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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