Danielle Dorra Williams

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007977 Issued in GA

Practice address

3915 Harrison Rd Ste 300
Loganville, GA 30052-5896

Phone

(248) 444-8132

NPI assigned

Sep 11, 2014

Last updated

Sep 19, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 6, 2024 through Mar 6, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Journey to Peace LLC

  • Community/Behavioral Health Agency
  • Loganville, GA
  • NPI 1780217224
  NPD Authorized official

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1356742175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 HARRISON RD STE 300",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525896",
            "telephone_number": "248-444-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 HARRISON RD STE 300",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525896",
            "telephone_number": "248-444-8132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 175th St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604302073",
            "country_code": "US",
            "telephone_number": "708-794-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORRA WILLIAMS",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015324",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toi Dixson
• Sherridon Dobbs, MS, CCC-SLP
• Domain Clinical Laboratory LLC
• Rachael Noelle Dombart, P.T.
• Doretha Shante Donald, OWNER
• Dr. C's Atlanta Vascular Center, LLC
• Drayer Physical Therapy Georgia LLC
• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy Institute of Ky PLLC (Drayer Physical Therapy Institute)
• Dualpath Billing and Credentialing Inc

• Clinical Social Worker in Loganville, GA
• Providers in Loganville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.