Active NPI
Solomon John Williams III
- Clinical Social Worker
- Round Rock, TX
National Provider Identifier
1063851665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64806
- Practice address
- 5809 Parma St
Round Rock, TX 78665-4506 - Phone
- (254) 289-7420
- NPI assigned
- Jun 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 64806 | TX | Primary |
Addresses
Primary practice location
5809 Parma St
Round Rock, TX 78665-4506
Mailing address
5809 Parma St
Round Rock, TX 78665-4506
Phone (254) 289-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64806 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1063851665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5809 PARMA ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786654506",
"telephone_number": "254-289-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5809 PARMA ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786654506",
"telephone_number": "254-289-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SOLOMON",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "64806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
- Kory Don Williams, D.P.M.
- Michael Anthony Williams Jr.
- Natasha P Williams
- Sarah Jean Williams, RD
- Shandoline Williams, LCSW
- Tara C Williams, SLPA
- Tavia Williams, OTD, OTR/L
- Williamson Burnet County Opportunites, Inc.
- Williamson County & Cities Health District
- Williamson County & Cities Health District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.