Active NPI
Andrew Peter Williams, MSW, LISW-S
- Clinical Social Worker
- Montgomery, AL
National Provider Identifier
1356522130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.900335-SUPV
- Practice address
- 42D Medical Group 300 South Twining Street, BLDG 760
Montgomery, AL 36112 - Phone
- (334) 953-5430
- NPI assigned
- Nov 20, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.900335-SUPV | OH | Primary |
Addresses
Primary practice location
42D Medical Group 300 South Twining Street, BLDG 760
Montgomery, AL 36112
Mailing address
42D Medical Group 300 South Twining Street, BLDG 760
Montgomery, AL 36112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.900335-SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1356522130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42D MEDICAL GROUP 300 SOUTH TWINING STREET, BLDG 760",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42D MEDICAL GROUP 300 SOUTH TWINING STREET, BLDG 760",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36112",
"telephone_number": "334-953-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANDREW",
"middle_name": "PETER",
"credential": "MSW, LISW-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.900335-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.