Jimmie C Powell, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

07596 Issued in TX

Practice address

9850-C Emmett F. Lowry Expy
Suite C-102
Texas City, TX 77591

Phone

(409) 949-3406

Fax

(409) 949-3492

NPI assigned

Jul 18, 2006

Last updated

Jul 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Texas City, TX
  • NPI 1619667565
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1396764916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775680939",
            "telephone_number": "409-949-3406",
            "fax_number": "409-949-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850-C EMMETT F. LOWRY EXPY",
            "address_2": "SUITE C-102",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-949-3406",
            "fax_number": "409-949-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JIMMIE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "07596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Elaine Perkins, L.C.D.C.
• Michaelina Marie Philpott, FNP-C
• Daniel V. Piazza, D.O.
• Platinum Personal Care, LLC
• Sarah Poe, LPC-A
• Swayam Prakash, M.D.
• Premier Primary and Palliative Health Care of Texas, PLLC (Primary & Palliative Health Care of Texas)
• Premise Health of Texas Medical PA (Valero Employee Wellness Center)
• Premise Health of Texas Medical PA (Galveston Co - Texas City)
• Jennifer Lynn Price, LPC-INTERN

• Social Worker in Texas City, TX
• Providers in Texas City, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.