Individual provider Active NPI

Haji H Williams, LSCSW

  • Clinical Social Worker
  • Paola, KS
National Provider Identifier
1083500896
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06529 Issued in KS
Practice address
25955 W 327TH St
Paola, KS 66071-4920
Phone
(913) 557-9096
Fax
(913) 294-9247
NPI assigned
Jun 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 753 KS
Clinical Social Worker 1041C0700X 06529 KS Primary

Addresses

Primary practice location

25955 W 327TH St
Paola, KS 66071-4920

Mailing address

PO Box 677
Ottawa, KS 66067-0677
Phone (913) 557-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702003694 KS Practitioner - Clinical Social Worker 5991218869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
753KSMDAddiction (Substance Use Disorder) Counselor
06529KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Layton Center, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Jun 12, 2025 Accepting new patients

Locations

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Layton Center Inc 25 clinicians

Practice addresses (Care Compare)

25955 W 327TH St
Paola, KS 66071-4920
Phone (913) 557-9096

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1083500896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670677",
            "telephone_number": "913-557-9096",
            "fax_number": "913-294-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25955 W 327TH ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660714920",
            "telephone_number": "913-557-9096",
            "fax_number": "913-294-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HAJI",
        "middle_name": "H",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "753",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.