Individual provider Active NPI

Winter Dunnington Powers III, LMSW- MARYLAND

  • Social Worker
  • Salisbury, MD
National Provider Identifier
1215657119
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
29112 Issued in MD
Practice address
1485 Still Meadow Boulevard
#3
Salisbury, MD 21804
Phone
(410) 812-4405
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 29112 MD Primary

Addresses

Primary practice location

1485 Still Meadow Boulevard
#3
Salisbury, MD 21804

Mailing address

23493 Deal Island Rd
Deal Island, MD 21821-1823
Phone (443) 366-5255

Other practice location 1

10026 Main St # 1
Berlin, MD 21811-3206
Phone (667) 288-1486

Other identifiers 1

IdentifierTypeStateIssuer
29112OtherMDLMSW

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.lighthousecounselingcm.com Other

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)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1215657119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23493 DEAL ISLAND RD",
            "city": "DEAL ISLAND",
            "state": "MD",
            "postal_code": "218211823",
            "telephone_number": "443-366-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 STILL MEADOW BOULEVARD",
            "address_2": "#3",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-812-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10026 Main St # 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113206",
            "country_code": "US",
            "telephone_number": "667-288-1486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "WINTER",
        "middle_name": "DUNNINGTON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMSW- MARYLAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "29112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "29112",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lighthousecounselingcm.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "clients to be informed",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "practice information",
            "address_1": "10026 Main St # 1",
            "city": "Berlin",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218113206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.