Virna R Powell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12602 Issued in CT

Practice address

1209 John Fitch Blvd Unit 2a
South Windsor, CT 06074-2483

Phone

(860) 830-1832

NPI assigned

Nov 21, 2022

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Virna R Powell Professional name

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ur Space LLC

  • Clinical Social Worker
  • South Windsor, CT
  • NPI 1871319913
  Medicare reassignment NPD Authorized official
• Williams & Bassoli, LLP

  dba Willow Tree Wellness

  • Clinical Social Worker
  • Southington, CT
  • NPI 1720555642
  NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1740999598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MOHAWK DR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081688",
            "telephone_number": "860-830-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 JOHN FITCH BLVD UNIT 2A",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742483",
            "telephone_number": "860-830-1832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Main St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064892561",
            "country_code": "US",
            "telephone_number": "860-276-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "VIRNA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRNA",
            "last_name": "POWELL",
            "middle_name": "R",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Podiatrycare, PC
• Mackenzie Porcello, LCSW
• Meghan Porcello
• Leah G Post, MD
• Kayla Potter, DNP, FNP
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Practice the Pause, LLC
• Madhuri Pratinidhi, MD
• Linda K Prella
• Allison Marie Price

• Clinical Social Worker in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.