Individual provider Active NPI

Jennifer Sue Powell, LISWS

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1174856819
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1000286SUPV Issued in OH
Practice address
20525 Center Ridge Rd Ste 505
Rocky River, OH 44116-3447
Phone
(216) 688-7926
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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 I1000286SUPV OH Primary

Addresses

Primary practice location

20525 Center Ridge Rd Ste 505
Rocky River, OH 44116-3447

Mailing address

20525 Center Ridge Rd Ste 505
Rocky River, OH 44116-3447
Phone (216) 688-7926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200421002953 OH Practitioner - Clinical Social Worker 6204266943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humanistic Counseling Center LLCGroup PAC ID 9335044619, 28 clinicians

Practice addresses (Care Compare)

20525 Ctr Ridge Rd
Suite 505
Rocky River, OH 44116-3447
Phone (216) 688-7926

20575 Ctr Ridge Rd
Suite 460
Rocky River, OH 44116-3432
Phone (216) 839-2273

5555 Mayfield Rd
FL 2
Lyndhurst, OH 44124-2939
Phone (216) 839-2273

PO Box
Suite 24242
Cleveland, OH 44124-0242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1000286SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Powells Counseling and Consultation Services LLC Clinical CurrentSince May 10, 2025 Accepting new patients
Humanistic Counseling Center LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

5555 Mayfield Rd
Fl Second
Lyndhurst, OH 44124

5555 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 461-4249

20525 Center Ridge Rd
Ste 505
Rocky River, OH 44116
Phone (216) 688-7926

20575 Center Ridge Rd
Ste 460
Rocky River, OH 44116

Organizations & group practices 2

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1174856819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 505",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163447",
            "telephone_number": "216-688-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 505",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163447",
            "telephone_number": "216-688-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LISWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1000286SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.