Individual provider Active NPI

Geano Powell, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1982094256
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
90088 Issued in CA
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

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
90088CAMDClinical Social Worker
70744CAMDPharmacotherapy 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.

Verify at the official NPI Registry.