Active NPI
Reiss Powell
- Clinical Social Worker
- Carrboro, NC
National Provider Identifier
1104258458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008243
- Practice address
- 200 N Greensboro St Ste C6
Carrboro, NC 27510-1849 - Phone
- (919) 962-8387
- Fax
- (919) 962-7373
- NPI assigned
- Aug 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P008243 | NC | |
| Clinical Social Worker | 1041C0700X | P008243 | NC | Primary |
Addresses
Primary practice location
200 N Greensboro St Ste C6
Carrboro, NC 27510-1849
Mailing address
200 N Greensboro St Ste C6
Carrboro, NC 27510-1849
Phone (919) 962-8387
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 |
|---|---|---|---|
| P008243 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1104258458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N GREENSBORO ST STE C6",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101849",
"telephone_number": "919-962-8387",
"fax_number": "919-962-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N GREENSBORO ST STE C6",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101849",
"telephone_number": "919-962-8387",
"fax_number": "919-962-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "REISS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-08",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P008243",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.