Individual provider Active NPI

William Alvis Sims Jr., L.C.S.W., M.S.W.

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1336463173
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000055 Issued in NC
Practice address
8029 Corporate Center Dr
Suite 200
Charlotte, NC 28226-4547
Phone
(704) 336-2669
Fax
(704) 336-6547
NPI assigned
Mar 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000055 NC Primary
Mental Health Counselor 101YM0800X C000055 NC

Addresses

Primary practice location

8029 Corporate Center Dr
Suite 200
Charlotte, NC 28226-4547

Mailing address

1542 Wickford PL
Charlotte, NC 28203-4465
Phone (704) 340-3788

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000055NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New River Mental Health Center Clinical Past Accepting new patients

Organizations & group practices 1

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1336463173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 WICKFORD PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034465",
            "telephone_number": "704-340-3788",
            "fax_number": "704-543-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 CORPORATE CENTER DR",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264547",
            "telephone_number": "704-336-2669",
            "fax_number": "704-336-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "WILLIAM",
        "middle_name": "ALVIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.S.W., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000055",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C000055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.