Active NPI
Rebekah Lynn Williams, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1104164623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010987
- Practice address
- 5306 NC Highway 55 Ste 105
Durham, NC 27713-7812 - Phone
- (919) 457-1517
- Fax
- (919) 363-7697
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6483 | TN | |
| Clinical Social Worker | 1041C0700X | C010987 | NC | Primary |
Addresses
Primary practice location
5306 NC Highway 55 Ste 105
Durham, NC 27713-7812
Mailing address
1363 Lighthouse LN
Winston Salem, NC 27127-6830
Phone (865) 604-5178
Other practice location 1
1012 E LaMar Alexander Pkwy
Maryville, TN 37804-5132
Phone (865) 984-2115
Other names 1
- Rebekah Lynn Brown
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6483 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- rebekahwilliams@tdh.allscriptsdirect.net
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": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1104164623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 LIGHTHOUSE LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271276830",
"telephone_number": "865-604-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 NC HIGHWAY 55 STE 105",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137812",
"telephone_number": "919-457-1517",
"fax_number": "919-363-7697"
}
],
"practiceLocations": [
{
"address_1": "1012 E LaMar Alexander Pkwy",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378045132",
"country_code": "US",
"telephone_number": "865-984-2115",
"fax_number": "865-983-0266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "REBEKAH",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6483",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "BROWN",
"middle_name": "LYNN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.