Active NPI
Nitausha Ann Williams, LMSW
- Clinical Social Worker
- Sioux City, IA
National Provider Identifier
1316435324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088281
- Practice address
- Jackson Recovery Centers, Inc.
800 5TH Street
Sioux City, IA 51101 - Phone
- (712) 234-2300
- Fax
- (712) 234-2392
- NPI assigned
- Apr 25, 2018
- Last updated
- Apr 25, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088281 | IA | Primary |
Addresses
Primary practice location
Jackson Recovery Centers, Inc.
800 5TH Street
Sioux City, IA 51101
Mailing address
Jackson Recovery Centers, Inc.
800 5TH Street
Sioux City, IA 51101
Phone (712) 234-2341
Other names 1
- Nitausha Heth-Cermak
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 |
|---|---|---|---|
| 088281 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1316435324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JACKSON RECOVERY CENTERS, INC.",
"address_2": "800 5TH STREET",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51101",
"telephone_number": "712-234-2341",
"fax_number": "712-234-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JACKSON RECOVERY CENTERS, INC.",
"address_2": "800 5TH STREET",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51101",
"telephone_number": "712-234-2300",
"fax_number": "712-234-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "NITAUSHA",
"middle_name": "ANN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "088281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NITAUSHA",
"last_name": "HETH-CERMAK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.