Active NPI
Ava Powell, MSW, LICSW
- Social Worker
- Sudbury, MA
National Provider Identifier
1780352419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 144 North Rd
Sudbury, MA 01776-1156 - Phone
- (978) 233-3054
- NPI assigned
- Aug 30, 2021
- Last updated
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128549 | MA | MD | Clinical Social Worker |
| 228100 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Current | Accepting new patients | |
| Wayside Youth and Family Support Network | Past | 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
- 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.
-
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- NPI 1225067481
-
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- NPI 1851484505
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.