Tereaka Powell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014426 Issued in NC

Practice address

1503 Wayne Memorial Dr
Goldsboro, NC 27534-2203

Phone

(252) 286-4218

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tereaka Lee Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306167713
  Medicare reassignment NPD
• Transforming Perspectives Therapy Services PLLC

  • Community/Behavioral Health Agency
  • Kinston, NC
  • NPI 1093608077
  NPD Authorized official
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Clinton, NC
  • NPI 1841352101
  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1669064754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 WAYNE MEMORIAL DR STE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342203",
            "telephone_number": "919-587-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342203",
            "telephone_number": "252-286-4218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Loop St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283284062",
            "country_code": "US",
            "telephone_number": "910-596-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TEREAKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NCC790",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tereaka.lee@eastersealsucp.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1503 Wayne Memorial Dr",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275342203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TEREAKA",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Carol Porter, M.S., CCC-SLP
• Positive Beginnings Community Center, LLC
• Jennifer Potter, NP
• Christopher C. Potts, D.M.D.
• Frederick L Potts, M.D.
• Neha Pradhan, M.D.
• Maya Preedom, OTR/L
• Elvira Carreno Presley
• Brittni Nichole Price
• Crystal Daye Price, CSAC

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.