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

Teresa Myers Maxwell, LCSW

Individual provider Clinical Social Worker · NPI 1215147053

Teresa Myers Maxwell, LCSW is a Clinical Social Worker in Freeport, Florida. Qualified in 1997, 29 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Mississippi and Tennessee.

Years since qualifying
29
Licensed in
FL, MS, TN
In the registry since
2007
Specialties on file
3
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

111 Eclipse Loop
Freeport, FL 32439-2697
Phone: (901) 456-2479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1714 Monroe Ave, Memphis, TN 38104-3924 — (901) 456-2479

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW13031 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSW0000004376 (TN)
Clinical Social Worker Taxonomy 1041C0700X · Licence C10490 (MS)

Record details

NPI number1215147053
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Freeport