Maryam Morenike Moosa Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6940 Issued in TN

Practice address

1601 23Rd Ave S
Nashville, TN 37212-3133

Phone

(615) 327-7000

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

Yes

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 IN, 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, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IN, TN

  Medicare reassignment

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1114502010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280694",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372280694",
            "telephone_number": "615-327-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123133",
            "telephone_number": "615-327-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSA WILLIAMS",
        "first_name": "MARYAM",
        "middle_name": "MORENIKE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne E Moore, MD
• Wesley Boyd Moore, M.D.
• Whitney Jackson Moore, APRN
• William A. Moore, MD
• Kaitlyn Marie Moorhead-Hill, RD, LDN
• Paul Moots, MD
• Jason Alexander Moraczewski, MD
• Anna W Morad, MD
• Mahshid Moradiseresht, M.D.
• Ariana Morales Perez

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.