Power of Mind, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POWER OF MIND, LLC

Practice address

6840 Stoneybrooke LN
Alexandria, VA 22306-1342

Phone

(703) 867-6515

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Lily Rebeca Sutherland, LCSWNPI 1568932382

Title

Founder/Ceo

Phone

(703) 867-6515

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily Rebeca Sutherland, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1568932382
  NPD Authorized official

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1730737271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 STONEYBROOKE LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061342",
            "telephone_number": "703-867-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 STONEYBROOKE LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061342",
            "telephone_number": "703-867-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER OF MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "REBECA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "703-867-6515",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Poulin
• Lily Victoria Poulter
• Emily Sunday Powell, P.A-C
• Natasha Y Powell, DO
• Sheldon Matthew Powell, PHARM.D.
• Brendan Patrick Powers
• Chantina Powers
• Daniel Joseph Powers, FNP-C
• Michelle Powers, CNM
• Lia Poynor

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.