Individual provider Active NPI

Latresa L. Williams, BSW, ACSW, LMSW

  • Social Worker
  • Livonia, MI
National Provider Identifier
1043629744
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801094591 Issued in MI
Practice address
31584 Schoolcraft Rd
Livonia, MI 48150-1805
Phone
(313) 969-6399
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094591 MI
Social Worker 104100000X 6801094591 MI Primary

Addresses

Primary practice location

31584 Schoolcraft Rd
Livonia, MI 48150-1805

Mailing address

12 Millrace CT
Dearborn, MI 48126-2614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921000198 MI Practitioner - Clinical Social Worker 3971890880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31584 Schoolcraft Rd
Livonia, MI 48150-1805
Phone (313) 969-3699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094591MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center CurrentSince Aug 20, 2016 Accepting new patients
Assurance Counseling, LLC Social Worker CurrentSince Mar 1, 2017 Accepting new patients

Locations

31584 Schoolcraft Rd
Livonia, MI 48150
Phone (313) 969-3699

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

19291 Northline Rd
Southgate, MI 48195
Phone (734) 287-1500

Organizations & group practices 2

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1043629744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MILLRACE CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31584 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501805",
            "telephone_number": "313-969-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LATRESA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "BSW, ACSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094591",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.