Individual provider Active NPI

Donna Janelle Kelly-Powell, PHD

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1699834531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW01903 Issued in TX
Practice address
301 South Center Street
Suite 214
Arlington, TX 76010
Phone
(817) 276-6412
Fax
(817) 276-6438
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCSW01903 TX Primary

Addresses

Primary practice location

301 South Center Street
Suite 214
Arlington, TX 76010

Mailing address

2706 Kidd Drive
Pantego, TX 76013
Phone (817) 548-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCSW01903TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Education & Growth Services Past Accepting new patients
First Baptist Church, Arlington, TX Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699834531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 KIDD DRIVE",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "76013",
            "telephone_number": "817-548-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTH CENTER STREET",
            "address_2": "SUITE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-276-6412",
            "fax_number": "817-276-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-POWELL",
        "first_name": "DONNA",
        "middle_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "LCSW01903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.