Active NPI
Christina White Powell, LCSW
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1407997620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004323
- Practice address
- 412 Caldwell Ext Ste D
Chapel Hill, NC 27516-2065 - Phone
- (919) 357-0691
- Fax
- (919) 913-4303
- NPI assigned
- Feb 9, 2007
- 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 | C004323 | NC | Primary |
Addresses
Primary practice location
412 Caldwell Ext Ste D
Chapel Hill, NC 27516-2065
Mailing address
300 Veazey Road
Butner, NC 27509
Phone (919) 764-2000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048 | Other | NC | MAGELLAN BEHAVIORAL HEALT |
| 0045 | Other | NC | MAGELLAN BEHAVIORAL HEALT |
| BCBS | Other | NC | 133A5 |
| 56-0926931 | Other | NC | WELLPATH |
| 6106035 | Medicaid | NC | |
| 133A5 | Other | NC | BCBS STATE HEALTH PLAN |
| 2137952 | Other | NC | CIGNA-MN BEHAVIORAL |
| 133A5 | Other | NC | BCBS FEDERAL |
| 133A5 | Other | NC | HEALTHCHOICE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1407997620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 VEAZEY ROAD",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-764-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 CALDWELL EXT STE D",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275162065",
"telephone_number": "919-357-0691",
"fax_number": "919-913-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "CHRISTINA",
"middle_name": "WHITE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "0048",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "0045",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "133A5",
"identifier": "BCBS",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "56-0926931",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106035",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS STATE HEALTH PLAN",
"identifier": "133A5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-MN BEHAVIORAL",
"identifier": "2137952",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL",
"identifier": "133A5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCHOICE",
"identifier": "133A5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.