Prisicilla Ann Williams, LLBSW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

6802089266 Issued in MI

Practice address

35425 W Michigan Ave
Wayne, MI 48184

Phone

(734) 722-4344

NPI assigned

Jan 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Priscilla Ann Williams Other name

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1063959989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35425 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481849800",
            "telephone_number": "734-353-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35425 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "48184",
            "telephone_number": "734-722-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9315 Parkwood St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "MI",
            "postal_code": "481111612",
            "country_code": "US",
            "telephone_number": "734-353-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PRISICILLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "6802089266",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802088678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACHELOR'S SOCIAL WORKER LIMITED LICENSE",
            "identifier": "6802088678",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "WILLIAMS",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LLBSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Ashley Wiebe
• Jamila Wilkins
• Daelon Marcel Williams
• Georgeina Lynn Williams
• Michele A Williams, LBSW
• Donella Williamson, BA QIDP
• Bianca Willis
• Armani Pierre Wilson
• Lesa M Wilson, BA LBSW QIDP
• Shaneise Wilson

• Community Health Worker in Wayne, MI
• Providers in Wayne, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.