Individual provider · Type 1 NPI

Joseph Russell Maiden Sr., LICSW

Clinical Social Worker · Charleston, SC

NPI number 1487665972 Active

Practice location

204 W Hill Blvd, 437 Medical Operations Squadron
Charleston, SC 29404

Mailing address

9331 Ayscough Rd
Summerville, SC 29485-8676

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC302707 (DC)
Clinical Social Worker Primary 1041C0700X08537 (MD)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1487665972

Joseph Russell Maiden Sr., LICSW's National Provider Identifier is 1487665972, issued on Aug 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, SC. The record was last updated on Sep 11, 2025.