Shawanda McGee Powell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8981 Issued in TN

Practice address

3964 Log Fence CV
Southaven, MS 38671-2315

Phone

(901) 558-5476

NPI assigned

May 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Well Coast Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881245231
  Medicare reassignment NPD
• Well Coast Psychiatric Inc. a Nursing Corp

  dba Celium Healthcare

  • Psychiatry Physician
  • Tigard, OR
  • NPI 1841784725
  NPD (past)

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1902420557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 LOG FENCE CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712315",
            "telephone_number": "901-558-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 LOG FENCE CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712315",
            "telephone_number": "901-558-5476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 Market St Ste 1608",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941045317",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Tamal Plz Ste 235",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251070",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 Center Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900459205",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4295 Gesner St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176660",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SHAWANDA",
        "middle_name": "MCGEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8981",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Porter, DPT
• Keith Porter
• Diosan M Powell, FNP
• Glenn Powell, PHARMD
• Madison J Powell, BA
• Tierany Powell
• Tiffany Pratcher
• Sarah Kathryn Pratt, DPT, PT
• Precision Mobile Collections LLC
• Premier Gastroenterology, P. C.

• Clinical Social Worker in Southaven, MS
• Providers in Southaven, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.

Verify at the official NPI Registry.