Individual provider Active NPI

Jane Elizabeth Powell, MSW, LADC, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1699985416
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4300 Issued in OK
Practice address
3300 N Martin Luther King Ave
Oklahoma City, OK 73111-4217
Phone
(405) 464-1455
Fax
(405) 425-2930
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC 705 OK
Clinical Social Worker 1041C0700X 4300 OK Primary

Addresses

Primary practice location

3300 N Martin Luther King Ave
Oklahoma City, OK 73111-4217

Mailing address

PO Box 53277
Oklahoma City, OK 73152-3277
Phone (405) 464-1455

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

State licenses

LicenseStateTypeSpecialty
LADC 705OKMDAddiction (Substance Use Disorder) Counselor
4300OKMDEmergency Medical Services (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1699985416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53277",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731523277",
            "telephone_number": "405-464-1455",
            "fax_number": "405-522-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N MARTIN LUTHER KING AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114217",
            "telephone_number": "405-464-1455",
            "fax_number": "405-425-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "MSW, LADC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "LADC 705",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.