Erica Powell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016506 Issued in NC

Practice address

103 Country Club Dr
Fayetteville, NC 28301-7603

Phone

(910) 400-7002

NPI assigned

Jun 22, 2021

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1235708363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "129-290-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COUNTRY CLUB DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017603",
            "telephone_number": "910-400-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3011 Town Center Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283060049",
            "country_code": "US",
            "telephone_number": "910-727-4590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 N Pine St",
            "address_purpose": "LOCATION",
            "city": "Roseboro",
            "state": "NC",
            "postal_code": "283828679",
            "country_code": "US",
            "telephone_number": "910-305-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Powe
• Tara Powell-Blackwell
• Albert Jonathan Powell
• Billy Powell Jr.
• Cache Powell
• Jerry Dean Powell, D.MIN.
• Kiersten Powell
• Michelle Vice Powell, PA-C
• Omar Abdu Powell, RRT/SDS/RPSGT
• Rachel Michelle Powell, MSW, LCSWA, LCASA

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.