Individual provider Active NPI

Joanne M Powell, ISW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1023844396
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20155 Issued in FL
Practice address
2255 Dunn Ave Ste 206
Jacksonville, FL 32218-4739
Phone
(904) 325-6680
Fax
(904) 562-3454
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20155 FL Primary

Addresses

Primary practice location

2255 Dunn Ave Ste 206
Jacksonville, FL 32218-4739

Mailing address

2255 Dunn Ave Ste 206
Jacksonville, FL 32218-4739
Phone (904) 325-6680

Other names 1

  • Joanne Peverill Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20155FLMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Counseling and Support Services, LLC Clinical CurrentSince Sep 15, 2024 Accepting new patients

Locations

2255 Dunn Ave
Ste 206
Jacksonville, FL 32218
Phone (904) 453-7970

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1023844396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 DUNN AVE STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184739",
            "telephone_number": "904-325-6680",
            "fax_number": "904-562-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 DUNN AVE STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184739",
            "telephone_number": "904-325-6680",
            "fax_number": "904-562-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "20155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "PEVERILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.