Active NPI
Patricia Williams, LLMSW
- Social Worker
- Southfield, MI
National Provider Identifier
1164053781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 20300 W 12 Mile Rd
Southfield, MI 48076-5408 - Phone
- (248) 632-6737
- NPI assigned
- Feb 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
20300 W 12 Mile Rd
Southfield, MI 48076-5408
Mailing address
25016 Cary St
Taylor, MI 48180-4541
Phone (313) 687-7879
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Kareo | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580515200000",
"number": "1164053781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25016 CARY ST",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481804541",
"telephone_number": "313-687-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20300 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765408",
"telephone_number": "248-632-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PATRICIA",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-01",
"last_updated": "2020-02-01",
"certification_date": "2020-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Kareo",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20300 W 12 Mile Rd",
"city": "Southfield",
"state": "MI",
"country_code": "US",
"postal_code": "480765408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.