Powell, Connie

Powell, Connie is an individual health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Powell, Connie can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 345500-3501 Utah

Profile Details

NPI number 1215156286
LBN Legal business name Powell, Connie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215156286 NPPES
Utah MEDICAID 876000308007

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