Provider Demographics
NPI:1629304571
Name:POWELL, TRUDY-ANN ELIZABETH (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:TRUDY-ANN
Middle Name:ELIZABETH
Last Name:POWELL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3641 W HILLSBORO BLVD APT F205
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2077
Mailing Address - Country:US
Mailing Address - Phone:954-945-4536
Mailing Address - Fax:
Practice Address - Street 1:3641 W HILLSBORO BLVD APT F205
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2077
Practice Address - Country:US
Practice Address - Phone:954-945-4536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW192071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical