Jennifer Powell, LCSW
Individual provider Active NPI Clinical Social Worker · Granville, NY
NPI 1205245396 · NPPES record last updated Aug 4, 2014
Key facts
- NPI
- 1205245396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 082074 (NY)
- Practice address
- 58 Quaker St
Granville, NY 12832-1513 - Phone
- (518) 642-1051
- Fax
- (518) 642-4544
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082074 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granville Central School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082074 | NY | Yes |
Addresses
Primary practice location
58 Quaker St
Granville, NY 12832-1513
Mailing address
58 Quaker St
Granville, NY 12832-1513
Phone (518) 642-1051
Other providers in Granville, NY
- Deidra Ann Mitchell
- Brooke Lynn Morgan
- Megan Nicole Murphy
- North Country Sports Medicine PLLC
- Michelle Parbus
- Anne E Riker
- Rite Aid of New York Inc
- Robin Lynn Schmitt
- Cynthia Larrabee Short
- Andrea Smith
All providers in Granville, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.