Tanika La-Sha Williams

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C11904 Issued in MS

Practice address

1601 30TH Ave
Gulfport, MS 39501-2741

Phone

(228) 284-2644

Fax

(855) 402-2013

NPI assigned

May 2, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catalyst Counseling and Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gulfport, MS
  • NPI 1477015444
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1053258442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 30TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012741",
            "telephone_number": "228-284-2644",
            "fax_number": "855-402-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 30TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012741",
            "telephone_number": "228-284-2644",
            "fax_number": "855-402-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TANIKA",
        "middle_name": "LA-SHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Williams, A.P.R.N., B.C.
• Kimberly M Williams, CNM
• Luella A Williams, CFNP
• Michael Owen Williams, DDS
• Stacy Williams
• Wendy E Williams, MD
• Ethan Scott Williamson
• Victoria Williford, P-LPC
• Valinda Willingham, M.S.,CCC-SLP
• Paul M Williston, O.C.

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.