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

Kaye Ellen Maynard, LISW

Individual provider Social Worker · NPI 1740594530

Kaye Ellen Maynard, LISW is a Clinical Social Worker in Pataskala, Ohio. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2010
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

7257 E Broad St SW Unit C
Pataskala, OH 43062-8501
Phone: (740) 963-2976
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I.1000063 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence I.1000063 (OH)

Record details

NPI number1740594530
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 4, 2010
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing addressPo Box 292, Pataskala, OH 43062-0292

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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