Individual provider Active NPI

Christie S. Williams, LCSW

  • Clinical Social Worker
  • Mancos, CO
National Provider Identifier
1306244017
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09923089 Issued in CO
Practice address
43290 Road J.9 Loop
Mancos, CO 81328-7903
Phone
(970) 799-3050
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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 CSW09923089 CO Primary

Addresses

Primary practice location

43290 Road J.9 Loop
Mancos, CO 81328-7903

Mailing address

PO Box 576
Dove Creek, CO 81324-0576
Phone (970) 677-3642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250508000224 TX Practitioner - Clinical Social Worker 4789964263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Colorado Ute Service UnitGroup PAC ID 2163454968, 6 clinicians

Practice addresses (Care Compare)

232 Rustling Willow St
Ute Mountain Ute
Towaoc, CO 81334-0049
Phone (970) 565-4441

232 Rustling Willow St Complex D
Towaoc, CO 81334-0049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09923089COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Ute Service Unit CurrentSince Feb 9, 2025 Accepting new patients
Dolores County Health Association Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1306244017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "DOVE CREEK",
            "state": "CO",
            "postal_code": "813240576",
            "telephone_number": "970-677-3642",
            "fax_number": "970-677-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43290 ROAD J.9 LOOP",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "813287903",
            "telephone_number": "970-799-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTIE",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09923089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mancos, CO

Sources for this page

Verify at the official NPI Registry.