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POWELL RECOVERY CENTER, INC.
NPI 1699928994
Clinic/Center - Adult Mental Health in Baltimore, MD

Active since October 30, 2008
14 S BROADWAY, BALTIMORE, MD 21231(410) 276-1773(410) 276-2056 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Powell Recovery Center, Inc. NPPES

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

POWELL RECOVERY CENTER, INC. (NPI 1699928994) is a healthcare organization registered as an adult mental health in Baltimore, Maryland and active in the NPI registry since October 2008. The organization lists Kim Wireman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1699928994
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePOWELL RECOVERY CENTER, INC.
Location Address14 S BROADWAYBaltimore, MD 21231-1712
Mailing Address14 S BroadwayBaltimore, MD 21231-1712 · (410) 276-1773 · Fax (410) 276-2056
Phone(410) 276-1773
Fax(410) 276-2056
Organization SubpartNo
Authorized OfficialKim WiremanPresident/ceo · (443) 610-1455
Enumeration DateOctober 30, 2008
Last NPPES UpdateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1699928994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in MD · 21771
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
14 S BROADWAY, Baltimore, MD 21231
Open in Google Maps ↗

Other Identifiers 1

Medicaid218121500MD

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Powell Recovery Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Powell Recovery Center, Inc., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Maricela Cast, LCSW-C
Clinical Social Worker
NPI 1285049858
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Faythe Johnson, LCSW-C
Clinical Social Worker
NPI 1821302720
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Bridget Perry, LGSW
Clinical Social Worker
NPI 1093162448
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Bryant Dooley, LGSW
Clinical Social Worker
NPI 1912372376
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Kimberly Wireman, LCSW-C, LCADC
Clinical Social Worker
NPI 1437304862
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Katherine Danner
Clinical Social Worker
NPI 1205392941
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Alex Goldberg, MSW, LGSW
Clinical Social Worker
NPI 1992225452
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Kristen Rose, LCSW-C
Clinical Social Worker
NPI 1508596081
14 S BROADWAY
Baltimore, MD 21231
(443) 955-4717
✔ PECOSSame address
Angelise Shelby, LMSW
Clinical Social Worker
NPI 1083193502
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Joey Wallace
Clinical Social Worker
NPI 1255977138
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOSSame address
Danielle Forrey, LCSW-C
Clinical Social Worker
NPI 1356020887
14 S BROADWAY
Baltimore, MD 21231
(410) 276-1773
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Powell Recovery Center, Inc.'s NPI number?

The NPI number for Powell Recovery Center, Inc. is 1699928994. It was assigned to this organization in the NPPES registry on October 30, 2008.

Where is Powell Recovery Center, Inc. located?

Powell Recovery Center, Inc. is located at 14 S Broadway, Baltimore, MD 21231. The listed phone number is (410) 276-1773.

What is Powell Recovery Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Powell Recovery Center, Inc. enrolled in Medicare?

Yes. Powell Recovery Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Powell Recovery Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Powell Recovery Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Powell Recovery Center, Inc. was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.