Active NPI
Clarise Denise Williams
- Social Worker
- Port Jervis, NY
National Provider Identifier
1184106361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 146 Pike St
Port Jervis, NY 12771-1808 - Phone
- (845) 858-1456
- Fax
- (845) 858-1459
- NPI assigned
- Sep 4, 2018
- 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
146 Pike St
Port Jervis, NY 12771-1808
Mailing address
210 E Main St Suite 105
Middletown, NY 10940
Phone (347) 615-2098
Other practice location 1
210 e main st suite 105
middletown, NY 10940
Phone (347) 615-2098
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": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1184106361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E MAIN ST SUITE 105",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "347-615-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 PIKE ST",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127711808",
"telephone_number": "845-858-1456",
"fax_number": "845-858-1459"
}
],
"practiceLocations": [
{
"address_1": "210 e main st suite 105",
"address_purpose": "LOCATION",
"city": "middletown",
"state": "NY",
"postal_code": "10940",
"country_code": "US",
"telephone_number": "347-615-2098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CLARISE",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jervis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.