Individual provider Active NPI

Tamara Ann Powell, LCSW, CSOTP, RPT

  • Clinical Social Worker
  • Stafford, VA
National Provider Identifier
1194872432
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008233 Issued in VA
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

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0812000538VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.