Individual provider Active NPI

Leonard Williams, LCSW, LMSW

  • Clinical Social Worker
  • Kingsport, TN
National Provider Identifier
1003590951
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8317 Issued in TN
Practice address
2991 Fort Henry Dr
Kingsport, TN 37664-4005
Phone
(423) 392-2975
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8317 TN Primary

Addresses

Primary practice location

2991 Fort Henry Dr
Kingsport, TN 37664-4005

Mailing address

2991 Fort Henry Dr
Kingsport, TN 37664-4005
Phone (423) 470-2152

Other names 1

  • Leonard Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517000428 TN Practitioner - Clinical Social Worker 5597106856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camelot Care Centers, LLC CurrentSince Mar 17, 2024 Accepting new patients
Camelot Care Centers PastSince Jun 18, 2023 Accepting new patients

Locations

2971 Fort Henry Dr
Kingsport, TN 37664
Phone (423) 230-8450

2610 Corporate Ave E
Ste 100
Memphis, TN 38132
Phone (901) 346-1270

1079 E Morris Blvd
Morristown, TN 37813
Phone (423) 318-7373

446 James Robertson Pkwy
Ste 201
Nashville, TN 37219
Phone (615) 242-7410

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1003590951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644005",
            "telephone_number": "423-470-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644005",
            "telephone_number": "423-392-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LEONARD",
        "credential": "LCSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONARD",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.