Individual provider Active NPI

Sarah Joan Davis-Williamson, DSW;LICSW

  • Clinical Social Worker
  • Charleston, WV
National Provider Identifier
1104408905
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00944321 Issued in WV
Practice address
815 Quarrier St Ste 214215
Charleston, WV 25301-2652
Phone
(304) 761-4310
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00944321 WV Primary

Addresses

Primary practice location

815 Quarrier St Ste 214215
Charleston, WV 25301-2652

Mailing address

585 Rucker St
Madison, WV 25130-1129
Phone (304) 761-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20211008000503 WV Practitioner - Clinical Social Worker 4284032079 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00944321WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare Inc CurrentSince Apr 1, 2026 Accepting new patients
Womencare Inc CurrentSince Apr 1, 2026 Accepting new patients
Womencare, Inc CurrentSince Apr 1, 2026 Accepting new patients
Womencare, Inc CurrentSince Apr 1, 2026 Accepting new patients
Womencare, Inc CurrentSince Apr 1, 2026 Accepting new patients
Womencare Inc CurrentSince Apr 1, 2026 Accepting new patients
Womencare Inc CurrentSince Apr 1, 2026 Accepting new patients
Williamson Mental Health Clinical CurrentSince Feb 17, 2024 Accepting new patients

Locations

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

12803 Winfield Rd
Winfield, WV 25213
Phone (304) 586-3088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1104408905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 RUCKER ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301129",
            "telephone_number": "304-761-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 QUARRIER ST STE 214215",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012652",
            "telephone_number": "304-761-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-WILLIAMSON",
        "first_name": "SARAH",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "DSW;LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-03-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.