Individual provider Active NPI

Carrie Ann Powers, MSW LCSW

  • Clinical Social Worker
  • Concord, MA
National Provider Identifier
1841345972
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15499 Issued in MA
Practice address
300 Baker Avenue
Suite 300
Concord, MA 01742
Phone
(864) 336-2731
Fax
(833) 740-3387
NPI assigned
Jan 25, 2007
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 211077 MA
Clinical Social Worker 1041C0700X 15499 MA Primary

Addresses

Primary practice location

300 Baker Avenue
Suite 300
Concord, MA 01742

Mailing address

285 Leo Dr
Gardner, MA 01440-1267
Phone (978) 621-0787

Other practice location 1

285 Leo Dr
Gardner, MA 01440-1267
Phone (978) 621-0787

Other practice location 2

150 Tarrytown Rd
Manchester, NH 03103-2713
Phone (864) 336-2731

Other identifiers 1

IdentifierTypeStateIssuer
1302604MedicaidMA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100810000366 MA Practitioner - Clinical Social Worker 9739213935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
211077MAMDAcupuncturist
15499MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Familywell PLLC Clinical CurrentSince Feb 7, 2024 Accepting new patients
Familywell PLLC Clinical PastSince Jan 28, 2024 Accepting new patients
North Central Human Serv Inc Past Accepting new patients

Locations

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

150 Tarrytown Rd
Manchester, NH 03103
Phone (603) 622-3162

Organizations & group practices 3

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1841345972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 LEO DR",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401267",
            "telephone_number": "978-621-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAKER AVENUE",
            "address_2": "SUITE 300",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Leo Dr",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "MA",
            "postal_code": "014401267",
            "country_code": "US",
            "telephone_number": "978-621-0787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Tarrytown Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031032713",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "211077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "15499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302604",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.