Individual provider · Type 1 NPI

Jack L. Powell, LCSW-C

Clinical Social Worker · Cambridge, MD

NPI number 1104090547 Active

Practice location

310 Gay St, Lower Level
Cambridge, MD 21613-1898

Fax (410) 228-8049

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X08358 (MD)

Clinical Social Worker: 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 interpers…

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About NPI 1104090547

Jack L. Powell, LCSW-C's National Provider Identifier is 1104090547, issued on Apr 16, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cambridge, MD. The record was last updated on Feb 24, 2010.