Nicole Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

.09928637 Issued in CO

Practice address

9251 Russell Way
Thornton, CO 80229-7632

Phone

(720) 316-6276

NPI assigned

Jul 9, 2014

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

Not listed in the public Medicare enrollment file

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.

• Nicole Williams, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Thornton, CO
  • NPI 1043069941
  NPD Authorized official
• Crossroads, Inc

  • Case Management Agency
  • Tulsa, OK
  • NPI 1669670485
  NPD (past)
• Crossroads, Inc

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1760768006
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1174939201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W. 136TH AVE.",
            "address_2": "STE 106, PMB 2882",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239306",
            "telephone_number": "720-316-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 RUSSELL WAY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802297632",
            "telephone_number": "720-316-6276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11990 Grant St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802331122",
            "country_code": "US",
            "telephone_number": "720-316-6276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1290 Chambers Rd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800117117",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1888 E 15th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044611",
            "country_code": "US",
            "telephone_number": "918-749-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009923025",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": ".09928637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darol Williams
• Joe L Williams, M.D.
• Joshua Van Williams, AG-CNS
• Lee Williams
• Marjorie Beth Williams
• Sarah Williams
• Taresa Williams
• Justin Ryan Willis, LMT
• Emily Quade Willmann, AGNP-C
• Willow Tree Occupational Therapy, LLC

• Clinical Social Worker in Thornton, CO
• Providers in Thornton, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.