Active NPIIndividual providerSole proprietor

Willie Powell, MSW PA

Marriage & Family Therapist in Maplewood, New Jersey

NPI Number1922158146
Practice location
2115 Millburn Ave Ste 100, Maplewood, NJ 07040-3724
Fax
973-763-8243
Last updated
November 6, 2024

Willie Powell is a Marriage & Family Therapist based in Maplewood, NJ. Willie Powell practices in Maplewood, NJ and has the professional credentials of MSW PA. The NPI Number for Willie Powell is 1922158146 and holds a License No. SC12965 (NJ). The current practice location address for Willie Powell is 2115 Millburn Ave Ste 100, Maplewood, NJ 07040-3724 and can be reached out via phone at 973-763-8123 and via fax at 973-763-8243.

Provider Profile Details

NPI Number
1922158146
Provider Name
Willie Powell
Credential
MSW PA
Provider Entity Type
Individual
Gender
Male
Address
2115 Millburn Ave Ste 100, Maplewood, NJ 07040-3724
Phone Number
973-763-8123
Fax Number
973-763-8243
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2007
Last Update Date
November 6, 2024
Certification Date
November 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724
Zip
07040-3724
Phone Number
973-763-8123
Fax Number
973-763-8243
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724
City
Maplewood
State
NJ
Zip
07040-3724
Phone Number
973-763-8123
Fax Number
973-763-8243

License Information

License Number
SC12965
License State
NJ
Taxonomy
Marriage & Family Therapist · 106H00000X · 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 Willie Powell, MSW PA?

The NPI number of Willie Powell, MSW PA is 1922158146. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Willie Powell, MSW PA?

Willie Powell, MSW PA is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in NJ under license number SC12965.

Where does Willie Powell, MSW PA practice?

The practice location is 2115 Millburn Ave Ste 100, Maplewood, NJ 07040-3724. The office can be reached at 973-763-8123 (phone) or 973-763-8243 (fax).

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 1922158146 directly on the NPPES registry website.

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