Petrina Laton Williams, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082512 Issued in DC

Practice address

163 Darrington St SW
Washington, DC 20032-2246

Phone

(202) 557-0069

NPI assigned

Nov 30, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Miracles in Motion Therapy and Consulting

  • Clinical Social Worker
  • Washington, DC
  • NPI 1740873306
  NPD Authorized official

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1134699358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 DARRINGTON ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322246",
            "telephone_number": "202-557-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 DARRINGTON ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322246",
            "telephone_number": "202-557-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 I Street NW",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20006",
            "country_code": "US",
            "telephone_number": "202-557-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 I Street NW",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20006",
            "country_code": "US",
            "telephone_number": "202-557-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 I Street NW",
            "address_2": "STE 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20006",
            "country_code": "US",
            "telephone_number": "202-557-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 I Street NW",
            "address_2": "STE 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20006",
            "country_code": "US",
            "telephone_number": "202-557-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 I Street NW",
            "address_2": "STE 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20006",
            "country_code": "US",
            "telephone_number": "202-557-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PETRINA",
        "middle_name": "LATON",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omotayo A Williams
• Paige Williams
• Parisheel Laqua Williams
• Patrick Williams
• Patrick Khara Williams
• Priscilla J Williams
• Puja Patel Williams, M.D.
• Rachel Bradley Williams, MSW
• Rachelle Williams
• Ramona Williams

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.