Jackie Allen Williams, MSW LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0583-1498C Issued in AL

Practice address

4800 Whitesport Cir SW
#2
Huntsville, AL 35801-6444

Phone

(256) 533-9393

Fax

(256) 533-9690

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Laureltree Family & Academic Counseling Services Inc

  dba Laureltree

  • Professional Counselor
  • Arab, AL
  • NPI 1588750459
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1003993619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NALE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588770",
            "telephone_number": "256-430-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW",
            "address_2": "#2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016444",
            "telephone_number": "256-533-9393",
            "fax_number": "256-533-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACKIE",
        "middle_name": "ALLEN",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "0583-1498C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Williams
• Ella Williams
• Hailey Elyse Williams, DPT
• Harold Andrew Williams, M.D.
• J'Nada Williams
• Jamacia Dominique Williams
• Janice Williams, CCC-SLP
• Jonathan Williams
• Joy Alicia Williams, MSPT
• Karen M. Williams, MD

• Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.