Leon Kentrelle Williams, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013973 Issued in NC

Practice address

1724 Roxie Ave
Fayetteville, NC 28304-1623

Phone

(919) 758-9317

NPI assigned

Apr 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1063041259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MONTCLAIR RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142313",
            "telephone_number": "919-436-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 ROXIE AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041623",
            "telephone_number": "919-758-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LEON",
        "middle_name": "KENTRELLE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013973",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P013973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishia Williams, LCSWA,LCASA
• Kristopher Williams, P.T., D.P.T
• Lakiesha Williams
• Lamont A Williams
• Lanadia Williams, FNP
• Madison Williams
• Madison Taylor Williams, PA-C
• Melissa Renee Williams, LCSWA
• Michelle Lee Williams, CMSW
• Natalie Williams, CADC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.