Individual provider Active NPI

Paris Williams

  • Clinical Social Worker
  • Dolton, IL
National Provider Identifier
1265145643
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018965 Issued in PA
Practice address
220 E 142ND PL
Dolton, IL 60419-1114
Phone
(309) 323-4117
NPI assigned
Jan 2, 2023
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL
Clinical Social Worker 1041C0700X CW018965 PA Primary

Addresses

Primary practice location

220 E 142ND PL
Dolton, IL 60419-1114

Mailing address

220 E 142ND PL
Dolton, IL 60419-1114

Other practice location 1

1401 S 31st St
Philadelphia, PA 19146-3506
Phone (215) 925-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230301002259 IL Practitioner - Clinical Social Worker 1254704844 Reassigns benefits to 2 organizations
I20250522000861 PA Practitioner - Clinical Social Worker 1254704844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1999 W Hunting Park Ave
Philadelphia, PA 19140-2828
Phone (215) 228-9300

432 N 6TH St
Philadelphia, PA 19123-4004
Phone 21562780001061

800 Washington Ave
Philadelphia, PA 19147-4717
Phone (215) 339-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution PTWL LLC CurrentSince Mar 30, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Eaves Health Partners PLLC Clinical CurrentSince Feb 1, 2023 Accepting new patients

Locations

845 N Michigan Ave
Chicago, IL 60611
Phone (312) 751-0026

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

5151 Church St
Skokie, IL 60077
Phone (773) 436-6600

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

1401 S 4th St
Philadelphia, PA 19147
Phone (215) 339-1070

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

Interoperability endpoints

  • Direct secure messaging: paris.williams.p1@direct.gpha.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1265145643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 142ND PL",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 142ND PL",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191114",
            "telephone_number": "309-323-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191463506",
            "country_code": "US",
            "telephone_number": "215-925-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PARIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

Verify at the official NPI Registry.