Virgil Mearn Williams Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801069259 Issued in MI

Practice address

2571 Pine Ridge Rd
West Bloomfield, MI 48324-1956

Phone

(313) 850-4731

NPI assigned

Jan 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, TN2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vstar Behavioral Health Services

  • Clinical Social Worker
  • Union City, TN
  • NPI 1336854041
  Medicare reassignment NPD Authorized official
• Macomb Medical and Wellness Center PLLC

  • Primary Care Clinic/Center
  • Warren, MI
  • NPI 1356876106
  Medicare reassignment NPD
• Asd Latinos Unlimited LLC

  • Behavior Analyst
  • Pontiac, MI
  • NPI 1750892337

  Clinical

  NPD

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1114165339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 PINE RIDGE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241956",
            "telephone_number": "313-850-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 PINE RIDGE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241956",
            "telephone_number": "313-850-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VIRGIL",
        "middle_name": "MEARN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L Kestenberg MD PC
• Carlisa Klugh Williams, LPC
• Denise Williams
• Laura Williams, LMSW
• NA'Kenya Williams
• Willis Nursing Care
• Eli Willner, LLMSW
• Eric Winer
• Winn'S Tranquility Services
• Peter Winston, MD

• Clinical Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.