Tywanda Latrese Williams, LCSW
Individual provider Active NPI Clinical Social Worker · Cordova, TN
NPI 1194960302 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1194960302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW11955 (FL)
- Practice address
- 269 Germantown Bend CV Ste 202
Cordova, TN 38018-7292 - Phone
- (901) 747-8158
- Fax
- (901) 410-3136
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carearc Inc
Practice addresses (Care Compare)
420 W 15TH Ave
Emporia, KS 66801-5367
Phone (620) 342-4864
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211115001038 | TN | Practitioner - Clinical Social Worker | 8325221674 | Reassigns benefits to 1 organization |
| I20221018001533 | KS | Practitioner - Clinical Social Worker | 8325221674 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090156 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center in Cowley County | Current |
Accepting new patients | |
| Community Health Center in Cowley County Inc | Current |
Accepting new patients | |
| Perry County Medical Center, Inc. | Current |
Accepting new patients | |
| Westside Clinic | Current | Accepting new patients | |
| Carearc, Inc. | Current |
Accepting new patients | |
| Carearc, Inc. | Current |
Accepting new patients | |
| Perry County Medical Center Inc | Current |
Accepting new patients | |
| Zen Inspired Counseling and Wellness Center | Clinical | Past |
Accepting new patients |
| Perry County Medical Center, Inc. | Past |
Accepting new patients | |
| Centerstone of Florida, Inc. | Past |
Accepting new patients |
Locations
420 W 15th Ave
Emporia, KS 66801
Phone (620) 342-4864
1602 N Elm St
Eureka, KS 67045
Phone (620) 583-7436
221 W 8th Ave
Winfield, KS 67156
Phone (620) 221-3350
115 E Brooklyn St
Linden, TN 37096
Phone (615) 589-2104
7723 Clearview Church Ln
Ste 100
Lyles, TN 37098
Phone (931) 670-5520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090156 | MI | |
| Clinical Social Worker | 1041C0700X | SW11955 | FL | Yes |
Addresses
Primary practice location
269 Germantown Bend CV Ste 202
Cordova, TN 38018-7292
Mailing address
269 Germantown Bend CV Ste 202
Cordova, TN 38018-7292
Phone (901) 747-8158
Other providers in Cordova, TN
- Pamela J Williams
- Roman Williams
- Shakinah Minyoun Williams
- Takoria Ashanti Williams
- Toni Yvette Williams
- Claire Williamson
- Anna Elizabeth Willis
- Dawn Annette Willis
- Chelsea Wilson
- James Timothy Wilson II
All providers in Cordova, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.