Shelby Lyn Williamson, PLMSW
Individual provider Active NPI Social Worker · Highland, AR
NPI 1043024797 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1043024797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- PLMSW (AR)
- Practice address
- 2012 Highway 62 412
Highland, AR 72542-9477 - Phone
- (870) 856-3337
- Fax
- (870) 856-3334
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bokker Enterprises, Inc. | Past | Accepting new patients | |
| Bokker Enterprises, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PLMSW | AR | Yes |
Addresses
Primary practice location
2012 Highway 62 412
Highland, AR 72542-9477
Mailing address
17 Orval LN
Mountain Home, AR 72653-9401
Phone (254) 964-4338
Other providers in Highland, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.