Individual provider Active NPI

Ava Powell, MSW, LICSW

  • Social Worker
  • Sudbury, MA
National Provider Identifier
1780352419
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
144 North Rd
Sudbury, MA 01776-1156
Phone
(978) 233-3054
NPI assigned
Aug 30, 2021
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X 128549 MA

Addresses

Primary practice location

144 North Rd
Sudbury, MA 01776-1156

Mailing address

10 Asylum St
Milford, MA 01757-2203

Other names 1

  • Ava Jones Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ava_jones@waysideyouth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019000488 MA Practitioner - Clinical Social Worker 4688040439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128549MAMDClinical Social Worker
228100MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Aug 24, 2022 Accepting new patients
Wayside Youth and Family Support Network PastSince Sep 1, 2021 Accepting new patients

Locations

144 North Rd
Ste 3450
Sudbury, MA 01776
Phone (978) 233-3054

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1780352419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ASYLUM ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NORTH RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761156",
            "telephone_number": "978-233-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "AVA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "128549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ava_jones@waysideyouth.org",
            "affiliation": "N",
            "endpointDescription": "Professional Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10 Asylum St",
            "city": "Milford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017572203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "JONES",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.