Individual provider Active NPI

Millie Ann Williams, L.C.S.W.

  • Clinical Social Worker
  • Safety Harbor, FL
National Provider Identifier
1013056175
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 1149 Issued in FL
Practice address
801 2ND St N
Suite G
Safety Harbor, FL 34695-3517
Phone
(727) 725-8820
Fax
(727) 725-8361
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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 SW 1149 FL Primary

Addresses

Primary practice location

801 2ND St N
Suite G
Safety Harbor, FL 34695-3517

Mailing address

801 2ND St N
Suite G
Safety Harbor, FL 34695-3517
Phone (727) 725-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101117000783 FL Practitioner - Clinical Social Worker 9133314099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1966
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Psychology Associates IncGroup PAC ID 1557399037, 16 clinicians

Practice addresses (Care Compare)

801 2ND St N
Suite 7
Safety Harbor, FL 34695-3562
Phone (727) 725-8820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 1149FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychology Associates Inc Clinical CurrentSince Dec 21, 2000 Accepting new patients
Lynda Gurvitz PHD Inc Past Accepting new patients

Locations

801 2nd St N
Ste 7
Safety Harbor, FL 34695
Phone (727) 725-8820

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1013056175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 2ND ST N",
            "address_2": "SUITE G",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953517",
            "telephone_number": "727-725-8820",
            "fax_number": "727-725-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 2ND ST N",
            "address_2": "SUITE G",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953517",
            "telephone_number": "727-725-8820",
            "fax_number": "727-725-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MILLIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.