Active NPI
Justin Dean Powell
- Social Worker
- Oakland, CA
National Provider Identifier
1124359807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1354 E 36TH St
Oakland, CA 94602-1120 - Phone
- (217) 552-0859
- NPI assigned
- Jan 20, 2010
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1354 E 36TH St
Oakland, CA 94602-1120
Mailing address
1354 E 36TH St
Oakland, CA 94602-1120
Phone (217) 552-0859
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
- Credentials
- Master of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1124359807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 E 36TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021120",
"telephone_number": "217-552-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 E 36TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021120",
"telephone_number": "217-552-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JUSTIN",
"middle_name": "DEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.