Active NPI
Kenndra Powell, LGSW
- Social Worker
- Washington, DC
National Provider Identifier
1497562011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG20001863
- Practice address
- 1930 Martin Luther King Jr Ave SE
Washington, DC 20020-7006 - Phone
- (202) 524-0395
- NPI assigned
- Dec 17, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LG20001863 | DC | Primary |
Addresses
Primary practice location
1930 Martin Luther King Jr Ave SE
Washington, DC 20020-7006
Mailing address
518 Decatur St NW
Washington, DC 20011-4747
Phone (202) 905-5389
Other practice location 1
518 Decatur St NW
Washington, DC 20011-4747
Phone (202) 905-5389
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 |
|---|---|---|---|
| LG20001863 | DC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1497562011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 DECATUR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200114747",
"telephone_number": "202-905-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207006",
"telephone_number": "202-524-0395"
}
],
"practiceLocations": [
{
"address_1": "518 Decatur St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200114747",
"country_code": "US",
"telephone_number": "202-905-5389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "KENNDRA",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG20001863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.