Active NPI
Edward Nimmer Williams, LICSW
- Social Worker
- Roxbury, MA
National Provider Identifier
1306043328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103172
- Practice address
- 40 Dimock St
Metco
Roxbury, MA 02119 - Phone
- (617) 427-1545
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103172 | MA | Primary |
Addresses
Primary practice location
40 Dimock St
Metco
Roxbury, MA 02119
Mailing address
64 Elm St
Jamaica Plain, MA 02130-2856
Phone (617) 522-2547
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103172 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1306043328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 ELM ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302856",
"telephone_number": "617-522-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DIMOCK ST",
"address_2": "METCO",
"city": "ROXBURY",
"state": "MA",
"postal_code": "02119",
"telephone_number": "617-427-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "EDWARD",
"middle_name": "NIMMER",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "103172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.