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NPI Code Detail

MEDICARE: POWER COUNSELING PLLC

MEDICARE: POWER COUNSELING PLLC
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
11041C0700XClinical Social WorkerLC50080921DC

Other Identifiers

General Provider Information

NPI Number : 1932658242
Entity Type Code : Organization
Provider Name (Legal Business Name) : POWER COUNSELING PLLC
Provider Business Mailing Address
First Line : 6828 WALKWAY CT STE B
Second Line :
City : BRYANS ROAD
State : MD
Zip : 20616-6106
Country : US
Telephone Number : 202-813-0454
Fax Number : 202-813-0454
Provider Business Practice Location Address
First Line : 401 POST OFFICE RD STE 101-2
Second Line :
City : WALDORF
State : MD
Zip : 20602-2738
Country : US
Telephone Number : 202-813-0454
Fax Number : 202-813-0454
Authorized Official
Title or Position : OWNER
Name : AZUBIKE INNOCENT ALICHE
Credential : LCSW
Telephone Number : 202-813-0454
Provider Enumeration Date : 09/27/2016
Last Update Date : 12/03/2025

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