Individual provider Active NPI

Emily Bray Williams, MSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1265952964
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60909075 Issued in WA
Practice address
8312 22ND Avenue NW
Seattle, WA 98117
Phone
(206) 594-4935
Fax
(206) 593-5363
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60909075 WA Primary

Addresses

Primary practice location

8312 22ND Avenue NW
Seattle, WA 98117

Mailing address

2400 NW 80TH St # 330
Seattle, WA 98117-4449
Phone (206) 594-4935

Other identifiers 1

IdentifierTypeStateIssuer
LW60909075OtherWALICSW LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily@emilywilliamslicsw.com Direct

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1265952964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW 80TH ST # 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174449",
            "telephone_number": "206-594-4935",
            "fax_number": "206-593-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 22ND AVENUE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-594-4935",
            "fax_number": "206-593-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMILY",
        "middle_name": "BRAY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60909075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW LICENSE",
            "identifier": "LW60909075",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@emilywilliamslicsw.com",
            "affiliation": "N",
            "endpointDescription": "Provider secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2400 NW 80th St # 330",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981174449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.