Active NPI
Greg Powers, LCSW
- Clinical Social Worker
- Kennedale, TX
National Provider Identifier
1013287689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29082
- Practice address
- 806 Shady Creek Dr
Kennedale, TX 76060-5441 - Phone
- (817) 919-8739
- NPI assigned
- Jan 12, 2012
- Last updated
- Jan 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29082 | TX | Primary |
Addresses
Primary practice location
806 Shady Creek Dr
Kennedale, TX 76060-5441
Mailing address
806 Shady Creek Dr
Kennedale, TX 76060-5441
Phone (817) 919-8739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29082 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1013287689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 SHADY CREEK DR",
"city": "KENNEDALE",
"state": "TX",
"postal_code": "760605441",
"telephone_number": "817-919-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 SHADY CREEK DR",
"city": "KENNEDALE",
"state": "TX",
"postal_code": "760605441",
"telephone_number": "817-919-8739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "GREG",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "29082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennedale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.