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Active NPI 1043758907 Individual Practitioner Female Practitioner

Williette Powell , LICDC

Peer Specialist • Cleveland, OH

Professional Overview & Biography Verified Profile Summary

Williette Powell, LICDC is a registered healthcare professional specializing in Peer Specialist in Cleveland, OH. Practice services are available at 13422 KINSMAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13422 Kinsman Rd

Cleveland, OH 441204410

Telephone 2162834400
Fax 2162835359
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Cleveland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
361 Specialists

Practicing in Cleveland, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH S.1700304

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.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

State License OH 161339

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Silvia Pliskin

Social Worker

NPI 1003310723
Lori Tazewell , RN

Registered Nurse - General Practice

NPI 1003474248

Registered Nurse

Deaira Alvis , QMHS

Case Manager/Care Coordinator

NPI 1003508540
Jenine Paige , QMHS

Case Manager/Care Coordinator

NPI 1003582255
Roscoe Lanier , QMHS

Case Manager/Care Coordinator

NPI 1003584111
Jazmine Fulton , QMHS

Case Manager/Care Coordinator

NPI 1003595083

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 13422 KINSMAN RD, CLEVELAND, OH 441204410 (Tel: 2162834400)

📍
Updated Business Mailing Address February 10, 2017

Registered at 18400 E PARK DR, CLEVELAND, OH 441192057 (Tel: 2162834400)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as WILLIETTE POWELL, LICDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Community/Behavioral Health (License #161339 in OH)

🟢
Initial NPI Registration & Enumeration February 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043758907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2017
Last Update: October 08, 2020
Sole Proprietor: Yes

Mailing Address

18400 E Park Dr

Cleveland, OH 441192057

Phone: 2162834400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.