Carolyn O'Neill Powell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016610 Issued in NC

Practice address

1400 W Church St
Elizabeth City, NC 27909-4510

Phone

(252) 331-0322

NPI assigned

Nov 13, 2019

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  Clinical

  NPD
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1992340012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HARBINGER RIDGE RD",
            "city": "HARBINGER",
            "state": "NC",
            "postal_code": "279419608",
            "telephone_number": "252-202-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W CHURCH ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094510",
            "telephone_number": "252-331-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CAROLYN",
        "middle_name": "O'NEILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Human Services
• Eve Portillo, RBT
• Nallely Portillo, RBT
• Praveen Potluru, MD
• Katrina Laverne Powell-Bell, OTR/L
• Charlene L Powell, SAP, LCAS, CADC,
• Robert N Powell, M.D.
• Casey Powles, DPT
• Carla Francisna Poyner
• Praxair Healthcare Services, Inc.

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.