Active NPI
Altramece Trenee Williams-Staats, LCSW-C
- Clinical Social Worker
- Chestertown, MD
National Provider Identifier
1215225255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17167
- Practice address
- 300 Scheeler Rd
Chestertown, MD 21620-1014 - Phone
- (410) 778-5783
- Fax
- (410) 778-7344
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17167 | MD | Primary |
Addresses
Primary practice location
300 Scheeler Rd
Chestertown, MD 21620-1014
Mailing address
PO Box 229
300 Scheeler Road
Chestertown, MD 21620-0229
Phone (410) 778-5783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220602002027 | TX | Practitioner - Clinical Social Worker | 9739321993 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mpac Texas, PLLC
Practice addresses (Care Compare)
307 W Cypress St
San Antonio, TX 78212-5512
Phone (888) 705-8722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17167 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current | Accepting new patients |
| Annette'S Haven | Clinical | Past | Accepting new patients |
Locations
501 Ogden St
San Antonio, TX 78212
Phone (210) 225-4588
307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521
Organizations & group practices 3
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": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1215225255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"address_2": "300 SCHEELER ROAD",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216200229",
"telephone_number": "410-778-5783",
"fax_number": "410-778-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SCHEELER RD",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201014",
"telephone_number": "410-778-5783",
"fax_number": "410-778-7344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-STAATS",
"first_name": "ALTRAMECE",
"middle_name": "TRENEE",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.