| Katherine Powell, Lcsw Mph, Llc | |
|
72 North St Ste 304 Danbury CT 06810-5653 | |
| (203) 942-9830 | |
| Not Available |
| Full Name | Katherine Powell, Lcsw Mph, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 72 North St Ste 304, Danbury, Connecticut |
| Authorized Official Name and Position | Katherine S Powell (OWNER) |
| Authorized Official Contact | 2039429830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Powell, Lcsw Mph, Llc 907 Livingston Rd Elizaville NY 12523-1022 Ph: (203) 942-9830 | Katherine Powell, Lcsw Mph, Llc 72 North St Ste 304 Danbury CT 06810-5653 Ph: (203) 942-9830 |
| NPI Number | 1790172468 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 7719267681 |
|---|---|
| Medicare Enrollment ID | O20161212000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790172468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05556 (Connecticut) | Primary |
| Provider Name | Katherine Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083880652 PECOS PAC ID: 1951476241 Enrollment ID: I20080821000124 |
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