Jacqueline C Williams, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWI.LW.61422290 Issued in WA

Practice address

516 W 4TH Ave
Toppenish, WA 98948-1616

Phone

(509) 865-2500

Fax

(509) 865-2623

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

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.

• SHC Medical Center Toppenish

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308

  WA

  Medicare reassignment NPD
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637

  WA

  Medicare reassignment
• SHC Medical Center Toppenish

  • Rural Health Clinic/Center
  • Union Gap, WA
  • NPI 1013492784
  NPD
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD
• Sunnyside Community Hospital Association

  • Clinic/Center
  • Yakima, WA
  • NPI 1609395060
  NPD
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Grandview, WA
  • NPI 1740289560
  NPD
• SHC Medical Center Toppenish

  • Rural Health Clinic/Center
  • Toppenish, WA
  • NPI 1316422892
  NPD (past)
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Prosser, WA
  • NPI 1912305905
  NPD (past)
• Sunnyside Home Health

  • Home Health Agency
  • Sunnyside, WA
  • NPI 1669918405
  NPD (past)
• Yakima Hma Home Health, LLC

  • Community Based Hospice Care Agency
  • Yakima, WA
  • NPI 1316962186
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1134589948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617",
            "fax_number": "509-837-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 4TH AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481616",
            "telephone_number": "509-865-2500",
            "fax_number": "509-865-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023114",
            "country_code": "US",
            "telephone_number": "509-567-6591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SWI.LW.61422290",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61422290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaia Elyse Whitaker, BSN RN
• Leroy Whitekiller
• Scott L Wiegand Jr., PHARMD
• Ilan E Wilde, PAC
• Nichola Wiley
• Venissa Williams
• Holly Winterhalder-Bales, NP-C
• Camelia Cristina Wogu, MD
• Joleen Kelli Wolftail
• Michelle Womack

• All providers in Toppenish, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.