Individual provider Active NPI

Corbren Nichelle Powell

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1891337630
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013423 Issued in NC
Practice address
855 Sam Newell Rd Ste 204
Matthews, NC 28105-7594
Phone
(980) 202-6643
Fax
(980) 246-9482
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013423 NC Primary

Addresses

Primary practice location

855 Sam Newell Rd Ste 204
Matthews, NC 28105-7594

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Other practice location 1

18 Oak Branch Dr Ste C
Greensboro, NC 27407-2444
Phone (336) 579-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210629000267 NC Practitioner - Clinical Social Worker 3779984778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

18 Oak Branch Dr
Suite C
Greensboro, NC 27407-2444
Phone (336) 579-2312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013423NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Jun 8, 2021 Accepting new patients
Neurosurgical Associates of the PastSince Nov 1, 2004 Accepting new patients

Locations

15015 Lancaster Hwy
Ste 200
Charlotte, NC 28277
Phone (980) 202-7980

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

9930 Kincey Ave
Ste 130
Huntersville, NC 28078
Phone (980) 556-7140

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

855 Sam Newell Rd
Ste 204
Matthews, NC 28105
Phone (980) 202-6643

9101 Pineville Matthews Rd
Ste C4
Pineville, NC 28134
Phone (980) 202-7920

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1891337630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAM NEWELL RD STE 204",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057594",
            "telephone_number": "980-202-6643",
            "fax_number": "980-246-9482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Oak Branch Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274072444",
            "country_code": "US",
            "telephone_number": "336-579-2312",
            "fax_number": "336-579-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CORBREN",
        "middle_name": "NICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.