Active NPI
Marlencia Jean Williams, LICSW
- Clinical Social Worker
- Tukwila, WA
National Provider Identifier
1215687934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61599046
- Practice address
- 15455 65TH Ave S
Tukwila, WA 98188-2534 - Phone
- (206) 721-5170
- Fax
- (360) 353-9440
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SC61213994 | WA | |
| Social Worker | 104100000X | SC61213994 | WA | |
| Clinical Social Worker | 1041C0700X | LW61599046 | WA | Primary |
Addresses
Primary practice location
15455 65TH Ave S
Tukwila, WA 98188-2534
Mailing address
PO Box 2429
Longview, WA 98632-8486
Phone (360) 353-9494
Other practice location 1
419 S 2nd St Ste 2
Renton, WA 98057-2234
Phone (206) 305-5581
Other names 1
- Marlencia Williams
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC61213994 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowlitz Indian Tribe | Current | Accepting new patients | |
| Cowlitz Indian Tribe | Current | Accepting new patients | |
| Cowlitz Indian Tribe | Past | Accepting new patients | |
| Cowlitz Indian Tribe | Past | Accepting new patients | |
| Cowlitz Indian Tribe | Past | Accepting new patients | |
| Cowlitz Indian Tribe | Past | Accepting new patients | |
| Cowlitz Indian Tribe | Past | Accepting new patients |
Locations
15455 65th Ave S
Tukwila, WA 98188
Phone (206) 721-5170
Organizations & group practices 7
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Vancouver, WA
- NPI 1538412630
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Vancouver, WA
- NPI 1164649679
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Longview, WA
- NPI 1528285038
-
- Public Health & General Preventive Medicine Physician
- Longview, WA
- NPI 1619194123
-
- General Practice Physician
- Longview, WA
- NPI 1851328447
-
- Public Health & General Preventive Medicine Physician
- Vancouver, WA
- NPI 1972962165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1215687934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2429",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986328486",
"telephone_number": "360-353-9494",
"fax_number": "360-353-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 65TH AVE S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882534",
"telephone_number": "206-721-5170",
"fax_number": "360-353-9440"
}
],
"practiceLocations": [
{
"address_1": "419 S 2nd St Ste 2",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980572234",
"country_code": "US",
"telephone_number": "206-305-5581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARLENCIA",
"middle_name": "JEAN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "SC61213994",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61213994",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61599046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLENCIA",
"last_name": "WILLIAMS",
"credential": "LICSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.