Active NPI
Michael Demetrius Williams, MSW, CSW
- Social Worker
- New Orleans, LA
National Provider Identifier
1194903799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15602
- Practice address
- 6400 Press Drive
New Orleans, LA 70126-1085 - Phone
- (504) 255-6192
- NPI assigned
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 15602 | LA | Primary |
Addresses
Primary practice location
6400 Press Drive
New Orleans, LA 70126-1085
Mailing address
6400 Press Drive
New Orleans, LA 70126-1085
Phone (504) 255-6192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194908799 | Other | LA | 1990 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15602 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1194903799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 PRESS DRIVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701261085",
"telephone_number": "504-255-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 PRESS DRIVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701261085",
"telephone_number": "504-255-6192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHAEL",
"middle_name": "DEMETRIUS",
"credential": "MSW, CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "15602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1990",
"identifier": "1194908799",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.