Active NPI
Tonya Mae Williams, LLMSW
- Social Worker
- Sault Sainte Marie, MI
National Provider Identifier
1225477474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802087379
- Practice address
- 3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286 - Phone
- (060) 632-2805
- Fax
- (906) 632-1163
- NPI assigned
- Jun 20, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802087379 | MI | Primary |
Addresses
Primary practice location
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Mailing address
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Phone (906) 632-2805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225477474 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tmwilliams@hbhcmh.org | ||
| CONNECT URL | 9066322805 |
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 |
|---|---|---|---|
| 6802087379 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1225477474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3865 S MACKINAC TRL",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497839286",
"telephone_number": "906-632-2805",
"fax_number": "906-632-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 S MACKINAC TRL",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497839286",
"telephone_number": "060-632-2805",
"fax_number": "906-632-1163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TONYA",
"middle_name": "MAE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2021-03-26",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802087379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225477474",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tmwilliams@hbhcmh.org",
"affiliation": "N",
"address_1": "3865 S Mackinac Trl",
"city": "Sault Sainte Marie",
"state": "MI",
"country_code": "US",
"postal_code": "497839286",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "9066322805",
"affiliation": "N",
"address_1": "3865 S Mackinac Trl",
"city": "Sault Sainte Marie",
"state": "MI",
"country_code": "US",
"postal_code": "497839286",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.