Organization · Type 2 NPI

Powell Psychotherapy, LLC

Clinical Social Worker · Decatur, GA

NPI number 1639026461 Active

Practice location

1896 Derrill Dr
Decatur, GA 30032-7001

Fax (762) 251-8881

Mailing address

520 W Ponce De Leon Ave Unit 14
Decatur, GA 30031-4100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1639026461

Powell Psychotherapy, LLC's National Provider Identifier is 1639026461, issued on Mar 11, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, GA. The record was last updated on Mar 11, 2026.