Individual provider Active NPI

Joshua Williams, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1194480202
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6101 N Glenwood Ave Apt 3
Chicago, IL 60660-1845
Phone
(309) 310-4456
NPI assigned
Nov 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6101 N Glenwood Ave Apt 3
Chicago, IL 60660-1845

Mailing address

6101 N Glenwood Ave Apt 3
Chicago, IL 60660-1845
Phone (309) 310-4456

Other practice location 1

5756 N Ridge Ave
Chicago, IL 60660-5331
Phone (309) 310-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517000310 IL Practitioner - Clinical Social Worker 8426346107 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Chicago, IL 60660
Phone (309) 310-4456

6101 N Glenwood Ave Apt
Suite 3
Chicago, IL 60660-1845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prairieland Therapy LLC Clinical CurrentSince Dec 10, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1194480202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N GLENWOOD AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601845",
            "telephone_number": "309-310-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 N GLENWOOD AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601845",
            "telephone_number": "309-310-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5756 N Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606605331",
            "country_code": "US",
            "telephone_number": "309-310-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOSHUA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.