Individual provider Active NPI

Shayla Powell

  • Social Worker
  • Joliet, IL
National Provider Identifier
1235008624
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.117413 Issued in IL
Practice address
210 N Hammes Ave Ste 204
Joliet, IL 60435-8139
Phone
(815) 782-2322
Fax
(815) 782-2322
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 150.117413 IL Primary

Addresses

Primary practice location

210 N Hammes Ave Ste 204
Joliet, IL 60435-8139

Mailing address

210 N Hammes Ave Ste 204
Joliet, IL 60435-8139
Phone (815) 782-2322

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

LicenseStateTypeSpecialty
150.117413ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blueprint Agency NFP Current Accepting new patients
Rooted in Strength LLC Current Accepting new patients

Locations

210 N Hammes Ave
Ste 204
Joliet, IL 60435
Phone (815) 722-4384

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1235008624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 204",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-782-2322",
            "fax_number": "815-782-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 204",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-782-2322",
            "fax_number": "815-782-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SHAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.117413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.