Willie Powell, MSW PA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

SC12965 Issued in NJ

Practice address

2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724

Phone

(973) 763-8123

Fax

(973) 763-8243

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Bill Powell, MSW, PA

  • Social Worker
  • Maplewood, NJ
  • NPI 1265678171
  Medicare reassignment
• Valley Spring Family Medicine Professional Corporation

  • Family Medicine Physician
  • Vauxhall, NJ
  • NPI 1538395314
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1922158146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE STE 100",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403724",
            "telephone_number": "973-763-8123",
            "fax_number": "973-763-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE STE 100",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403724",
            "telephone_number": "973-763-8123",
            "fax_number": "973-763-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "WILLIE",
        "credential": "MSW PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "SC12965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223167686",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Pfeifer
• Nika Pierre-Paul
• Salindra Pinda, CNM
• Jacqueline Pascual Pontiveros, RN
• Ryland Bouldin Powell Sr., LCSW
• Premier Access Community and Residential Services
• Premier Healthcare Group
• Prestige Care Inc.
• Vaquisha Prince, LCSW
• Vanessa Yvelourdes Princivil, LPC

• Marriage & Family Therapist in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.