Derrick L Williams

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4846 Issued in SC

Practice address

19 Meadowood Drive
Langhorne, PA 19047-1616

Phone

(215) 750-4004

Fax

(215) 750-4322

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Woods Community Services LLC

  dba The Center for Behavioral Health at Woods

  • Community/Behavioral Health Agency
  • Langhorne, PA
  • NPI 1306540364
  Medicare reassignment
• Woods Community Services LLC

  • Community/Behavioral Health Agency
  • Levittown, PA
  • NPI 1720835614

  Mental Health

  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1154452019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEADOWOOD DRIVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471616",
            "telephone_number": "215-750-4004",
            "fax_number": "215-750-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Springview Ln",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858108",
            "country_code": "US",
            "telephone_number": "843-873-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DERRICK",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760596480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerold B Wilck, DDS
• Victoria Wilcox, PA-C
• Stephanie Jeanne Will, LCSW
• Clarissa Williams-Richardson, MS
• Assia Nicole Williams, RN
• Latiefa L Williams, BEHAVIOR TECHNICIAN
• Madeline Schoen Williams, RBT
• Robert Williams
• Wilson Dermatology & Skin Care Inc
• Deborah Wilson, MD

• Professional Counselor in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.