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General NPI Number Information
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NPI Number | 1588713200
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Entity Type | Individual
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Provider Name | KYMBERLY MACHELLE POWELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 21945 THREE NOTCH RD STE 102A
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-1563
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Country | US
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Telephone | 240-788-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 2254 DANBERRY CT
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City | BRYANS ROAD
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State | MD
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Zip | 20616-3257
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Country | US
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Telephone | 571-228-9992
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904010599
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC5008078
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19237
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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