Organization Active NPI

Williams Consulting, Creating Opportunities for Advancement, LLC

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1013505692
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILLIAMS CONSULTING, CREATING OPPORTUNITIES FOR ADVANCEMENT, LLC
Practice address
13109 Faulkner Lake Rd
North Little Rock, AR 72117-5358
Phone
(501) 590-2488
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Nakia Deniese Williams, LCSW
Title
Ceo, Owner
Phone
(501) 590-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13109 Faulkner Lake Rd
North Little Rock, AR 72117-5358

Mailing address

13109 Faulkner Lake Rd
North Little Rock, AR 72117-5358
Phone (501) 590-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210108001504 AR Part B Supplier - Clinic/Group Practice 2567875610 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Little Rock, AR
O20210804002593 AR Part B Supplier - Mass Immunization (Roster Biller Only) 2567875610 Practice locations: North Little Rock, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1013505692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13109 FAULKNER LAKE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721175358",
            "telephone_number": "501-590-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13109 FAULKNER LAKE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721175358",
            "telephone_number": "501-590-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CONSULTING, CREATING OPPORTUNITIES FOR ADVANCEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_middle_name": "DENIESE",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "501-590-2488",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.