IndividualActive
Jack Powell, LCSW-C
NPI 1104090547 · Clinical Social Worker · Cambridge, MD
Jack Powell, LCSW-C is a Clinical Social Worker provider in Cambridge, MD (NPI 1104090547).
Provider details
- NPI number
- 1104090547
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 08358 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
310 Gay St
Lower Level
Cambridge, MD 21613-1898
Phone: (410) 228-7714
Fax: (410) 228-8049
Street-level locationGet directions
Mailing address
310 Gay St
Cambridge, MD 21613-1898
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2010-02-24
Frequently asked questions
- What is Jack Powell's NPI number?
- Jack Powell's National Provider Identifier (NPI) is 1104090547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Powell's specialty?
- Jack Powell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jack Powell located?
- Jack Powell's practice location on file with NPPES is 310 Gay St, Cambridge, MD 21613-1898.
- What is Jack Powell's phone number?
- The practice phone number listed in the NPPES registry for Jack Powell is (410) 228-7714.
- Is Jack Powell's NPI active?
- Yes — Jack Powell's NPI (1104090547) is active in the NPPES registry as of the last update on 2010-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.