Tina M Powell, LCSW is a
Social Worker - Clinical based in Shady Dale, Georgia. Tina M Powell is licensed to practice in Georgia (license number CSW005146) and her current practice location is
580 Ross Rd, Shady Dale, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 312-4303.
NPI number for Tina M Powell is 1720489263 and her current mailing address is 580 Ross Rd, Shady Dale, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720489263.
Healthcare Provider's Profile
Full Name | Tina M Powell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 580 Ross Rd, Shady Dale, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720489263
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 08/10/2016
Medical Identifiers
Medical identifiers for Tina M Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720489263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW005146 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina M Powell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tina M Powell, LCSW 580 Ross Rd, Shady Dale, GA 31085-3228 Ph: (770) 312-4303 | Tina M Powell, LCSW 580 Ross Rd, Shady Dale, GA 31085-3228 Ph: (770) 312-4303 |
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