Active NPI
Yvette C Williams, LCSW
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1003165200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009215
- Practice address
- 830 Summit Crossing PL
Gastonia, NC 28054-2192 - Phone
- (704) 917-7610
- Fax
- (704) 917-7615
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P0065555 | NC | |
| Clinical Social Worker | 1041C0700X | C009215 | NC | Primary |
Addresses
Primary practice location
830 Summit Crossing PL
Gastonia, NC 28054-2192
Mailing address
830 Summit Crossing PL
Gastonia, NC 28054-2192
Phone (704) 917-7610
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
| License | State | Type | Specialty |
|---|---|---|---|
| C009215 | NC | MD | Clinical Social Worker |
| P0065555 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1003165200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 SUMMIT CROSSING PL",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542192",
"telephone_number": "704-917-7610",
"fax_number": "704-917-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SUMMIT CROSSING PL",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542192",
"telephone_number": "704-917-7610",
"fax_number": "704-917-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "YVETTE",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P0065555",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.