Active NPI
Jody Williams, LCSW, LLC
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1023697364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JODY WILLIAMS, LCSW, LLC
- Practice address
- 3320 N Buffalo Dr Ste 207
Las Vegas, NV 89129-7411 - Phone
- (702) 720-2565
- Fax
- (702) 552-5163
- NPI assigned
- Apr 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody Williams, LCSW
- Title
- Owner
- Phone
- (702) 720-2565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3320 N Buffalo Dr Ste 207
Las Vegas, NV 89129-7411
Mailing address
PO Box 753762
Las Vegas, NV 89136-3762
Phone (702) 720-2565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509776 | Medicaid | NV | |
| 100509777 | Medicaid | NV |
Other names 1
- Clinical Perspectives
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | laptop | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3320 N Buffalo Dr
Ste 207
Las Vegas, NV 89129
Phone (702) 659-4825
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1922137124
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1225685662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1023697364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 753762",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891363762",
"telephone_number": "702-720-2565",
"fax_number": "702-665-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 N BUFFALO DR STE 207",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297411",
"telephone_number": "702-720-2565",
"fax_number": "702-552-5163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JODY WILLIAMS, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-720-2565",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509776",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509777",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "laptop",
"affiliation": "N",
"endpointDescription": "MacBook Air",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7180 Cascade Valley Ct Ste 200",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891280481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Clinical Perspectives",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.