Individual provider Active NPI

Dawn Powell, LSW

  • Social Worker
  • Youngstown, OH
National Provider Identifier
1598917650
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2102677-SUPV Issued in OH
Practice address
1157 Miami St
Youngstown, OH 44505-3745
Phone
(330) 743-8918
NPI assigned
Oct 21, 2008
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.2102677-SUPV OH Primary

Addresses

Primary practice location

1157 Miami St
Youngstown, OH 44505-3745

Mailing address

1157 Miami St
Youngstown, OH 44505-3745
Phone (330) 743-8918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241127002271 OH Practitioner - Clinical Social Worker 5496280463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2102677-SUPVOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Light Counseling & Consulting CurrentSince May 14, 2023 Accepting new patients
Gloris Counseling Services, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

5500 Market St
Ste 203
Youngstown, OH 44512
Phone (330) 330-8332

Interoperability endpoints

  • Direct secure messaging: dawn.powell.1@23610.direct.athenahealth.com

Organizations & group practices 2

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1598917650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 MIAMI ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445053745",
            "telephone_number": "330-743-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 MIAMI ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445053745",
            "telephone_number": "330-743-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2102677-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.