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NPI Code Detail

MEDICARE: ALICIA FLYNNE POWELL MSW

MEDICARE: ALICIA FLYNNE POWELL MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH00004247WA
2101YM0800XMental Health CounselorLMHCWA
31041C0700XClinical Social WorkerLICSW-60041336WA
41041C0700XClinical Social WorkerLCSW-25910ID

General Provider Information

NPI Number : 1437317989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA FLYNNE POWELL MSW
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-434-0392
Provider Business Practice Location Address
First Line : 1203 IDAHO ST
Second Line :
City : LEWISTON
State : ID
Zip : 83501-1940
Country : US
Telephone Number : 509-444-8200
Fax Number : 509-434-0392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2008
Last Update Date : 09/25/2025

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