Individual provider Active NPI

Victoria Williams, LMSW, CSW

  • Social Worker
  • Clarksville, TN
National Provider Identifier
1245964709
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
255986 Issued in KY
Practice address
124 Eagles Perch LN
Clarksville, TN 37040-2042
Phone
(931) 249-2661
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13747 TN
Social Worker 104100000X 255986 KY Primary

Addresses

Primary practice location

124 Eagles Perch LN
Clarksville, TN 37040-2042

Mailing address

124 Eagles Perch LN
Clarksville, TN 37040-2042
Phone (931) 249-2661

Other practice location 1

1816 Memorial Cir
Clarksville, TN 37043-4539
Phone (931) 249-2661

Other names 1

  • Victoria Minton Former name

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

LicenseStateTypeSpecialty
255986KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Williams Therapy PLLC CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1245964709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 EAGLES PERCH LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370402042",
            "telephone_number": "931-249-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EAGLES PERCH LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370402042",
            "telephone_number": "931-249-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1816 Memorial Cir",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370434539",
            "country_code": "US",
            "telephone_number": "931-249-2661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICTORIA",
        "credential": "LMSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "13747",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "255986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MINTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.