Individual provider Active NPI

Melissa Annette Powell, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1578873733
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15042 Issued in MD
Practice address
1900 E Northern Pkwy Ste T5
Baltimore, MD 21239-2120
Phone
(410) 645-1000
Fax
(667) 205-1382
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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 15042 MD Primary

Addresses

Primary practice location

1900 E Northern Pkwy Ste T5
Baltimore, MD 21239-2120

Mailing address

4205 Mary Ave
Baltimore, MD 21206-2620
Phone (410) 852-4919

Other practice location 1

4205 Mary Ave
Baltimore, MD 21206-2620
Phone (410) 852-4919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140721001617 MD Practitioner - Clinical Social Worker 0244456655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transforming Lives Counseling Services, LLCGroup PAC ID 0446524508, 2 clinicians

Practice addresses (Care Compare)

1900 E Northern Pkwy
Suite T5
Baltimore, MD 21239-2120
Phone (410) 645-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15042MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Transforming Lives Counseling and PRP Services, LLC Past Accepting new patients
Transforming Lives Counseling and PRP Services, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1578873733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 MARY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062620",
            "telephone_number": "410-852-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE T5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392120",
            "telephone_number": "410-645-1000",
            "fax_number": "667-205-1382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4205 Mary Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212062620",
            "country_code": "US",
            "telephone_number": "410-852-4919",
            "fax_number": "667-205-1382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MELISSA",
        "middle_name": "ANNETTE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.