Tallibah Angela Powell, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06595600 Issued in NJ

Practice address

155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033

Phone

(862) 277-0584

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1043086705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 HIGH ST FL 1",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501921",
            "telephone_number": "973-519-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK BLVD STE 110",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707033",
            "telephone_number": "862-277-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TALLIBAH",
        "middle_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099943-01",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06595600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Pomante, APN
• Jessica Lila Poniatowski, APRN,BC
• Anthony Pontone, OTR/L
• Edward Ponzini, RPH
• Fatima Popcakova, DDS
• Susan Hirsh Prager, PHD
• Ananth N Prakash, MBBS
• Preakness Healthcare Center
• Preakness Medical Care, LLC
• Preakness Womens Health LLC

• Social Worker in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.