Provider Demographics
NPI:1215657119
Name:POWERS, WINTER DUNNINGTON III (LMSW- MARYLAND)
Entity type:Individual
Prefix:MR
First Name:WINTER
Middle Name:DUNNINGTON
Last Name:POWERS
Suffix:III
Gender:M
Credentials:LMSW- MARYLAND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23493 DEAL ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:DEAL ISLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21821-1823
Mailing Address - Country:US
Mailing Address - Phone:443-366-5255
Mailing Address - Fax:
Practice Address - Street 1:1485 STILL MEADOW BOULEVARD
Practice Address - Street 2:#3
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804
Practice Address - Country:US
Practice Address - Phone:410-812-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29112104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD29112OtherLMSW