Active NPI
Jordan Powell, MSW, LICSW
- Clinical Social Worker
- Marysville, WA
National Provider Identifier
1225760416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWI.LW.61585311
- Practice address
- 1720 Grove St
Marysville, WA 98270-4328 - Phone
- (425) 405-2216
- NPI assigned
- Jun 27, 2022
- Last updated
- Jul 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWI.LW.61585311 | WA | Primary |
Addresses
Primary practice location
1720 Grove St
Marysville, WA 98270-4328
Mailing address
1720 Grove St
Marysville, WA 98270-4328
Phone (425) 405-2216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60951865 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tailored Therapy Solutions LLC | Clinical | Current | Accepting new patients |
Locations
1720 Grove St
Marysville, WA 98270
Phone (425) 280-3851
522 W Riverside Ave
Ste N
Spokane, WA 99201
Phone (509) 203-4653
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Marysville, WA
- NPI 1710667019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783814400000",
"number": "1225760416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 GROVE ST",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704328",
"telephone_number": "425-405-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 GROVE ST",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704328",
"telephone_number": "425-405-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JORDAN",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2026-07-12",
"certification_date": "2026-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SWI.LW.61585311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.