WILLIETTE POWELL LICDC NPI 1043758907

NPI Information

  • NPI: 1043758907
  • Provider Name: WILLIETTE POWELL, LICDC
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13422 KINSMAN RD
    CLEVELAND, OH
    ZIP 44120
  • Phone: (216) 283-4400

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NPI Details

Williette Powell, LICDC is a peer specialist in Cleveland, OH with 9 years of experience. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Williette Powell, LICDC NPI is 1043758907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13422 KINSMAN RD
CLEVELAND, OH
ZIP 44120-410
Phone: (216) 283-4400
Fax: (216) 283-5359

The NPI 1043758907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 10/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health161339OHIONo
2175T00000XPeer SpecialistS.1700304OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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