Individual
MRS. CICELY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9097 ATLEE STATION RD, STE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829
(804) 730-2829
Mailing address
9097 ATLEE STATION RD, STE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829
(804) 730-2829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003486
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008951811
—
VA
01
—
087536
SENTARA
VA
01
—
102399
ANTHEM BCBS
VA
01
—
2105413
ALLIANCE PPO
VA
01
—
263176000
MAGELLAN
VA
Enumeration date
08/15/2006
Last updated
07/08/2007
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