Active NPI
Geano Powell, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1982094256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 90088
- Practice address
- 2808 Becerra Way
Sacramento, CA 95821-5421 - Phone
- (251) 625-9159
- NPI assigned
- Jan 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 70744 | CA | |
| Clinical Social Worker | 1041C0700X | 90088 | CA | Primary |
Addresses
Primary practice location
2808 Becerra Way
Sacramento, CA 95821-5421
Mailing address
2808 Becerra Way
Sacramento, CA 95821-5421
Phone (251) 625-9159
Other practice location 1
7245 E Southgate Dr
Sacramento, CA 95823-2620
Phone (916) 427-7141 ext. 2442
Other practice location 2
3810 Rosin Ct Ste 170
Sacramento, CA 95834-1658
Phone (916) 567-4222 ext. 3309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90088 | CA | MD | Clinical Social Worker |
| 70744 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1982094256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 BECERRA WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958215421",
"telephone_number": "251-625-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 BECERRA WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958215421",
"telephone_number": "251-625-9159"
}
],
"practiceLocations": [
{
"address_1": "7245 E Southgate Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958232620",
"country_code": "US",
"telephone_number": "916-427-7141 x2442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3810 Rosin Ct Ste 170",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958341658",
"country_code": "US",
"telephone_number": "916-567-4222 x3309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "GEANO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-26",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "70744",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "90088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.