Individual provider Active NPI

Claudette M Williams, LSW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1003126582
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5500 S Marginal Rd
Cleveland, OH 44103-1072
Phone
(216) 221-7588
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.0019381 OH
Social Worker 104100000X Primary

Addresses

Primary practice location

5500 S Marginal Rd
Cleveland, OH 44103-1072

Mailing address

5500 S Marginal Rd Ste 110
Cleveland, OH 44103-1009
Phone (216) 221-7588

Other practice location 1

3737 Lander Road
Pepper Pike, OH 44124-5712
Phone (216) 831-2255 ext. 5077

Other identifiers 1

IdentifierTypeStateIssuer
0268768MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL clwilliams@nyap.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.0019381OHMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1003126582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 S MARGINAL RD STE 110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031009",
            "telephone_number": "216-221-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S MARGINAL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031072",
            "telephone_number": "216-221-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Lander Road",
            "address_purpose": "LOCATION",
            "city": "Pepper Pike",
            "state": "OH",
            "postal_code": "441245712",
            "country_code": "US",
            "telephone_number": "216-831-2255 x5077",
            "fax_number": "216-378-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLAUDETTE",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0019381",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clwilliams@nyap.org",
            "affiliation": "N",
            "address_1": "5500 S Marginal Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441031072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.