Active NPI
Bryann Marie Williams, MSW/LSW
- Social Worker
- Bourbonnais, IL
National Provider Identifier
1013668417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150106568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 150106568 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Counseling Center, LLC | Current | 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.
-
- Professional Counselor
- Bourbonnais, IL
- NPI 1871194043
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.