Pamela Sue Powers, LCSW, CAP, CCTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 11074 Issued in FL

Practice address

51B Yacht Club Dr NE
Fort Walton Beach, FL 32548-4473

Phone

(850) 664-0145

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Pamela Sue Disponett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1669714002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SPANISH MOSS TRL",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412605",
            "telephone_number": "850-803-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51B YACHT CLUB DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484473",
            "telephone_number": "850-664-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAP, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "3067",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DISPONETT",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "CAP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danaejuh Powell-King
• Canfani Powell
• Julie Clausen Powell, FNP-BC
• Rodney E Powell, MD
• Shelby Powell
• Savanah Poynter
• Jane A Pratt
• Price Health Centers P.a.
• Sean Lee Price, D.C.
• Angelina Virginia Prieto

• Clinical Social Worker in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.