Individual provider · Type 1 NPI

Tina M. Powell, LCSW

Clinical Social Worker · Shady Dale, GA

NPI number 1720489263 Active

Practice location

580 Ross Rd
Shady Dale, GA 31085-3228

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW005146 (GA)

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…

About NPI 1720489263

Tina M. Powell, LCSW's National Provider Identifier is 1720489263, issued on Sep 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shady Dale, GA. The record was last updated on Aug 10, 2016.