Individual provider Active NPI

Bryann Marie Williams, MSW/LSW

  • Social Worker
  • Bourbonnais, IL
National Provider Identifier
1013668417
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150106568 Issued in IL
Practice address
396 Belle Aire Ave
N/a
Bourbonnais, IL 60914-2010
Phone
(815) 939-1912
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150106568 IL Primary

Addresses

Primary practice location

396 Belle Aire Ave
N/a
Bourbonnais, IL 60914-2010

Mailing address

692 S Elm Ave
Kankakee, IL 60901-5424
Phone (815) 719-2199

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

LicenseStateTypeSpecialty
150106568ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Counseling Center, LLC CurrentSince Jan 26, 2022 Accepting new patients

Locations

396 Belle Aire Ave
Bourbonnais, IL 60914
Phone (815) 933-7391

Organizations & group practices 1

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1013668417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 S ELM AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015424",
            "telephone_number": "815-719-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BELLE AIRE AVE",
            "address_2": "N/A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142010",
            "telephone_number": "815-939-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRYANN",
        "middle_name": "MARIE",
        "credential": "MSW/LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150106568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.