JACK L. POWELL LCSW-C
NPI 1104090547
Social Worker - Clinical in Cambridge, MD

Active since April 16, 2008
310 GAY ST, LOWER LEVEL, CAMBRIDGE, MD 21613(410) 228-7714(410) 228-8049 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack L. Powell Lcsw-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK L. POWELL LCSW-C (NPI 1104090547) is an individual clinical provider in Cambridge, Maryland, licensed in Maryland (08358) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1104090547
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK L. POWELLCredential: LCSW-C
Location Address310 GAY ST, LOWER LEVELCambridge, MD 21613-1898
Mailing Address310 Gay St, Lower LevelCambridge, MD 21613-1898 · (410) 228-7714 · Fax (410) 228-8049
Fax(410) 228-8049
Sole ProprietorYes
Enumeration DateApril 16, 2008
Last NPPES UpdateFebruary 24, 2010
NPI 1104090547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 08358
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
310 GAY ST, Cambridge, MD 21613

Other Identifiers 2

Medicare PIN135953ZBFKMD
Medicare PINVA05MD

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Public Health or Welfare
310 GAY ST, LOWER LEVEL
CAMBRIDGE, MD 21613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Powell's NPI number?

The NPI number for Jack Powell is 1104090547. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Jack Powell located?

Jack Powell practices at 310 Gay St Lower Level, Cambridge, MD 21613. The listed phone number is (410) 228-7714.

What is Jack Powell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jack Powell was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.