Destinee Nacole Williams, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801103133 Issued in MI

Practice address

26011 Lathrup Blvd
Lathrup Village, MI 48076-4605

Phone

(269) 548-5282

NPI assigned

Jul 30, 2020

Last updated

Jul 30, 2020By the provider in NPPES

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

Other names 1

• Destinee Nacole Ray Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cheers to Life Counseling

  • Clinical Social Worker
  • Lathrup Village, MI
  • NPI 1770160426
  NPD Authorized official

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1184233686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26011 LATHRUP BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764605",
            "telephone_number": "269-548-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26011 LATHRUP BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764605",
            "telephone_number": "269-548-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DESTINEE",
        "middle_name": "NACOLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINEE",
            "last_name": "RAY",
            "middle_name": "NACOLE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• US Health Pharmaceuticals, LLC (Detroit Metro Rx)
• Davis Vardunny, PTA
• Shobhan Vyas
• Tasia West
• Whole Body Health Clinic
• Elaine K Williams, M.S.W.
• Winchester Services LLC
• Womancare of Southfield, P.C.
• Richard J Woolman, DC
• Tyrus Wright

• Clinical Social Worker in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.