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NPI Code Detail

MEDICARE: GEANO POWELL LCSW

MEDICARE:   GEANO  POWELL  LCSW
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
1104100000XSocial Worker
21041C0700XClinical Social Worker70744CA
31041C0700XClinical Social Worker90088CA

General Provider Information

NPI Number : 1982094256
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEANO POWELL LCSW
Provider Business Mailing Address
First Line : 2808 BECERRA WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-5421
Country : US
Telephone Number : 251-625-9159
Fax Number :
Provider Business Practice Location Address
First Line : 2808 BECERRA WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-5421
Country : US
Telephone Number : 251-625-9159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2015
Last Update Date : 11/30/2022

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Directions to “ GEANO POWELL LCSW” Practice Location

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