Organization Active NPI

Williamson Counseling, PLLC

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1205044856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00003658 Issued in WA
Legal business name
WILLIAMSON COUNSELING, PLLC
Practice address
4020 S 56TH St Ste 210
Tacoma, WA 98409-2619
Phone
(253) 232-9905
Fax
(253) 474-0189
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jack D. Williamson, MSW, PH.D., LCSWNPI 1134363666
Title
Clinical Social Worker
Phone
(253) 232-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW00003658 WA Primary

Addresses

Primary practice location

4020 S 56TH St Ste 210
Tacoma, WA 98409-2619

Mailing address

5126 80TH St SW
Lakewood, WA 98499-4049
Phone (253) 232-9905

National Provider Directory

National Provider Directory

Locations

4020 S 56th St
Ste 210
Tacoma, WA 98409
Phone (253) 232-9905

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205044856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 80TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994049",
            "telephone_number": "253-232-9905",
            "fax_number": "253-474-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 S 56TH ST STE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092619",
            "telephone_number": "253-232-9905",
            "fax_number": "253-474-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "253-232-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, PH.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00003658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.