Wayne Williams

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

152 Issued in MA

Practice address

435 Warren St
Roxbury, MA 02119-1833

Phone

(617) 442-7400

Fax

(617) 541-3797

NPI assigned

Aug 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Roxbury Comprehensive Community Health Center

  • Social Worker
  • Roxbury, MA
  • NPI 1831306083
  NPD (past)
• Roxbury Comprehensive Community Health Center, Inc.

  • Community Health Clinic/Center
  • Roxbury, MA
  • NPI 1932266533
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1275725095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 WARREN ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191833",
            "telephone_number": "617-442-7400",
            "fax_number": "617-541-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 WARREN ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191833",
            "telephone_number": "617-442-7400",
            "fax_number": "617-541-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "152",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "4022707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeisha Williams
• Liana Marie Williams
• Linda Williams, LCSW
• Patrice Williams
• Robert Williams
• Ellen L Winfrey
• Rebecca Luvenia Winfrey, MSW
• Nick Wood
• Delbert Woodham
• Rachel Sarah Woolson, L.C.S.W.

• Addiction (Substance Use Disorder) Counselor in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.