Cristen Williams, MED., MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P008637 Issued in NC

Practice address

613 Shipyard Blvd
Unit 102
Wilmington, NC 28412-6492

Phone

(910) 777-9670

Fax

(910) 202-5772

NPI assigned

Apr 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cristen Roggeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1336559400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 SHIPYARD BLVD",
            "address_2": "UNIT 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126492",
            "telephone_number": "910-777-9670",
            "fax_number": "910-202-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SHIPYARD BLVD",
            "address_2": "UNIT 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126492",
            "telephone_number": "910-777-9670",
            "fax_number": "910-202-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CRISTEN",
        "credential": "MED., MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTEN",
            "last_name": "ROGGEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Williams
• Benjamin Lee Williams, DPT
• Bridgette Elaine Williams, FNP
• Carli Danielle Williams, MD
• Cory M. Williams, DDS
• Daniela Dishaka Williams, LPC-A
• Dustin Grant Williams, PHD
• Erica Jordan Williams, MSW, LCSWA
• Erin Marie Williams, LCSW, LCAS
• John Yates Williams, D.D.S.

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.