Individual provider Active NPI

Emma J Williams, LCSW, LMFT

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1073687398
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1934-123 Issued in WI
Practice address
161 W Wisconsin Ave
Ste 5190
Milwaukee, WI 53203-2601
Phone
(414) 272-5005
Fax
(414) 272-3760
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 249-124 WI
Clinical Social Worker 1041C0700X 1934-123 WI Primary

Addresses

Primary practice location

161 W Wisconsin Ave
Ste 5190
Milwaukee, WI 53203-2601

Mailing address

161 W Wisconsin Ave
Ste 5190
Milwaukee, WI 53203-2601
Phone (414) 272-5005

Other identifiers 2

IdentifierTypeStateIssuer
39657200MedicaidWI
42186800MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
1934-123WIMDClinical Social Worker
249-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Adolescent Family Marriage Therapy Associates Clinical CurrentSince Dec 2, 2010 Accepting new patients

Locations

230 W Wells St
Ste 630
Milwaukee, WI 53203
Phone (414) 272-5005

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1073687398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W WISCONSIN AVE",
            "address_2": "STE 5190",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032601",
            "telephone_number": "414-272-5005",
            "fax_number": "414-272-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W WISCONSIN AVE",
            "address_2": "STE 5190",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032601",
            "telephone_number": "414-272-5005",
            "fax_number": "414-272-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMMA",
        "middle_name": "J",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "249-124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1934-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39657200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42186800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.