Active NPI
Neal Williams, LCSW
- Clinical Social Worker
- Lebanon, IN
National Provider Identifier
1073513461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003509A
- Practice address
- 602 Ransdell Rd
Lebanon, IN 46052-2349 - Phone
- (765) 482-7100
- Fax
- (317) 674-0059
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 34003509A | IN | Primary |
Addresses
Primary practice location
602 Ransdell Rd
Lebanon, IN 46052-2349
Mailing address
9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360
Phone (317) 587-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100073590 | Medicaid | IN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1073513461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 E 148TH ST",
"address_2": "SUITE 1",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604360",
"telephone_number": "317-587-0500",
"fax_number": "317-674-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 RANSDELL RD",
"city": "LEBANON",
"state": "IN",
"postal_code": "460522349",
"telephone_number": "765-482-7100",
"fax_number": "317-674-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "NEAL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003509A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100073590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.