Active NPI
Tamara Ann Powell, LCSW, CSOTP, RPT
- Clinical Social Worker
- Stafford, VA
National Provider Identifier
1194872432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008233
- Practice address
- 131 Northampton Blvd
Stafford, VA 22554-7660 - Phone
- (571) 237-7673
- Fax
- (540) 288-1437
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0812000538 | VA | |
| Clinical Social Worker | 1041C0700X | 0904008233 | VA | Primary |
Addresses
Primary practice location
131 Northampton Blvd
Stafford, VA 22554-7660
Mailing address
131 Northampton Blvd
Stafford, VA 22554-7660
Phone (571) 237-7673
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 |
|---|---|---|---|
| 0812000538 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accent Group and Family Services, LLC | Past | Accepting new patients | |
| Northspring Behavioral Healthcare Inc | 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.
-
- Community/Behavioral Health Agency
- North Chesterfield, VA
- NPI 1780950493
-
- Psychiatric Hospital
- Leesburg, VA
- NPI 1780044628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1194872432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 NORTHAMPTON BLVD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547660",
"telephone_number": "571-237-7673",
"fax_number": "540-288-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 NORTHAMPTON BLVD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547660",
"telephone_number": "571-237-7673",
"fax_number": "540-288-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "TAMARA",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "LCSW, CSOTP, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2024-07-25",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0812000538",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904008233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.