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

Maxine Wylde, LCSW

Individual provider Clinical Social Worker · NPI 1407584659

Maxine Wylde, LCSW is a Clinical Social Worker in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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

2501 Monument Ave Ste 314
Richmond, VA 23220-2618
Phone: (804) 997-5652
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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 0904015765 (VA)

Record details

NPI number1407584659
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 15, 2022
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

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