Individual provider Active NPI

Julie Powell

  • Clinical Social Worker
  • Kennebunkport, ME
National Provider Identifier
1518019611
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213697 Issued in MA
Practice address
13 Sand Dollar LN
Kennebunkport, ME 04046-6045
Phone
(207) 470-7399
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 213697 MA Primary

Addresses

Primary practice location

13 Sand Dollar LN
Kennebunkport, ME 04046-6045

Mailing address

13 Sand Dollar LN
Kennebunkport, ME 04046-6045
Phone (207) 470-7399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070830000674 MA Practitioner - Clinical Social Worker 6901999341 Practice locations: Dracut, MA
I20181023003618 ME Practitioner - Clinical Social Worker 6901999341 Practice locations: Kennebunkport, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213697MAMDClinical Social Worker
LC13219MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Heatlh Services, LLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1518019611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SAND DOLLAR LN",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040466045",
            "telephone_number": "207-470-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SAND DOLLAR LN",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040466045",
            "telephone_number": "207-470-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunkport, ME

Sources for this page

Verify at the official NPI Registry.