Sidnee Williams, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018189 Issued in NC

Practice address

1400 Battleground Ave Ste 209E
Greensboro, NC 27408-8028

Phone

(336) 383-1665

Fax

(336) 383-1665

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• My Therapy Place, PLLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1558827568

  Clinical

  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1275251555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BATTLEGROUND AVE STE 209E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088028",
            "telephone_number": "336-383-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BATTLEGROUND AVE STE 209E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088028",
            "telephone_number": "336-383-1665",
            "fax_number": "336-383-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SIDNEE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018189",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO18189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833557264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Louise Williams
• Seiquest Williams
• Shakera Williams
• Shanika Terrell Williams
• Shantell Williams, MSW
• Tara Renee Williams, NP-C
• Taylor Williams
• Thedosia Williams
• Tracy Atkinson Williams, MS, CCC-SLP
• Tyeasha Denaie Williams, RN, APRN, FNP

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.