Individual provider Active NPI

Carla B Powell, LCSW

  • Clinical Social Worker
  • Ocean Springs, MS
National Provider Identifier
1184728487
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C0266 Issued in MS
Practice address
904 De Soto Street
Ocean Springs, MS 39564-4624
Phone
(228) 872-2020
Fax
(228) 872-0226
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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 C0266 MS Primary

Addresses

Primary practice location

904 De Soto Street
Ocean Springs, MS 39564-4624

Mailing address

PO Box 645
Ocean Springs, MS 39566-0645
Phone (228) 872-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110209000191 MS Practitioner - Clinical Social Worker 6204016231 Practice locations: Ocean Springs, MS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

904 Desoto St
Ocean Springs, MS 39564-3737
Phone (228) 872-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0266MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Psychology Ctr Apc Clinical PastSince Jan 1, 2004 Accepting new patients
Applied Psychology Center, PC Clinical Past Accepting new patients

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1184728487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395660645",
            "telephone_number": "228-872-2020",
            "fax_number": "228-872-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 DE SOTO STREET",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644624",
            "telephone_number": "228-872-2020",
            "fax_number": "228-872-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CARLA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C0266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.