Jessica J.K Powell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60304012 Issued in NU

Practice address

8839 10TH Ave SW
Seattle, WA 98106-2540

Phone

(203) 524-1860

NPI assigned

Jun 5, 2009

Last updated

Aug 21, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1568698470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8839 10TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062540",
            "telephone_number": "203-524-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8839 10TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062540",
            "telephone_number": "203-524-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JESSICA",
        "middle_name": "J.K",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "C007121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "LW 60304012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Powell
• Donsetta M Powell
• Heidi S Powell, MD
• Janet Marie Powell, OTR/L
• Jasper Powell, LMT
• Kelly C. Powell, D.D.S.
• Kymberli D. Powell
• Lauren Elizabeth Powell, M.D.
• Matthew Powell, MD
• Melissa Jean Powell, RD

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.