Active NPI
Terrissa Powell
- Clinical Social Worker
- Roseville, CA
National Provider Identifier
1487006128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 99939
- Practice address
- 970 Reserve Dr Ste 170
Roseville, CA 95678-1378 - Phone
- (916) 538-9552
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 99939 | CA | Primary |
Addresses
Primary practice location
970 Reserve Dr Ste 170
Roseville, CA 95678-1378
Mailing address
970 Reserve Dr Ste 170
Roseville, CA 95678-1378
Phone (916) 538-9552
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 |
|---|---|---|---|
| 99939 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1487006128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 RESERVE DR STE 170",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781378",
"telephone_number": "916-538-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 RESERVE DR STE 170",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781378",
"telephone_number": "916-538-9552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "TERRISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "99939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.