Active NPIIndividual providerSole proprietor

Tallibah A Powell, LCSW

Social Worker in Wayne, New Jersey

NPI Number1043086705
Practice location
155 Willowbrook Blvd Ste 110, Wayne, NJ 07470-7033
Fax
—
Last updated
January 23, 2026

Tallibah Angela Powell is a Social Worker based in Wayne, NJ. Tallibah Angela Powell practices in Wayne, NJ and has the professional credentials of LCSW. The NPI Number for Tallibah Angela Powell is 1043086705 and holds a License No. 099943-01 (NY). The current practice location address for Tallibah Angela Powell is 155 Willowbrook Blvd Ste 110, Wayne, NJ 07470-7033 and can be reached out via phone at 862-277-0584.

Provider Profile Details

NPI Number
1043086705
Provider Name
Tallibah Angela Powell
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
155 Willowbrook Blvd Ste 110, Wayne, NJ 07470-7033
Phone Number
862-277-0584
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2023
Last Update Date
January 23, 2026
Certification Date
January 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033
City
Wayne
Zip
07470-7033
Phone Number
862-277-0584
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
398 High St Fl 1
Orange, NJ 07050-1921
City
Orange
State
NJ
Zip
07050-1921
Phone Number
973-519-7609

License Information

License Number (1)
099943-01
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SL06595600
License State (2)
NJ
Taxonomy (2)
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tallibah A Powell, LCSW?

The NPI number of Tallibah A Powell, LCSW is 1043086705. It was assigned on December 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Tallibah A Powell, LCSW?

Tallibah A Powell, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 099943-01.

Where does Tallibah A Powell, LCSW practice?

The practice location is 155 Willowbrook Blvd Ste 110, Wayne, NJ 07470-7033. The office can be reached at 862-277-0584 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043086705 directly on the NPPES registry website.

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