Organization Active NPI

Powers of the Healing Arts Therapy and Training Center, LLC

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1801636048
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POWERS OF THE HEALING ARTS THERAPY AND TRAINING CENTER, LLC
Practice address
650 Main St Ste 201B
South Portland, ME 04106-5448
Phone
(207) 536-4931
NPI assigned
May 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Authorized official

Name
Julien Powers-Candelmo, LCSWNPI 1982008520
Title
Owner
Phone
(207) 536-4931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

650 Main St Ste 201B
South Portland, ME 04106-5448

Mailing address

650 Main St Ste 201B
South Portland, ME 04106-5448
Phone (207) 536-4931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240906002325 ME Part B Supplier - Clinic/Group Practice 3476093337 Receives reassigned benefits from 1 practitioner
Practice locations: South Portland, ME

National Provider Directory

National Provider Directory

Locations

650 Main St
Ste 201B
South Portland, ME 04106
Phone (207) 536-4931

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1801636048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MAIN ST STE 201B",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065448",
            "telephone_number": "207-536-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN ST STE 201B",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065448",
            "telephone_number": "207-536-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERS OF THE HEALING ARTS THERAPY AND TRAINING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "POWERS-CANDELMO",
        "authorized_official_first_name": "JULIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-536-4931",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.