Jennifer Lynn Williams, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20597 Issued in MD

Practice address

5301 Snead St
Gulfport, MS 39501-9018

Phone

(508) 728-1391

NPI assigned

Nov 27, 2017

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

• Jennifer Lynn Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194239392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037A MALLARD CV",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012833",
            "telephone_number": "508-728-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 SNEAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395019018",
            "telephone_number": "508-728-1391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Marvin Shields Blvd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395019007",
            "country_code": "US",
            "telephone_number": "228-822-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Williams, LCSW
• Fred Williams, CRNA
• Heather Lauren Williams
• Jamie Leigh Williams, PH.D.
• Jamie Olsen Williams, PA-C
• Jerry Williams, FNP-BC
• Karen Keel Williams
• Kari Williams, CRNP
• Kathleen M Williams, A.P.R.N., B.C.
• Kimberly M Williams, CNM

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.