Organization Active NPI

Gene Williams Licensed Clinical Social Worker

  • Clinical Social Worker
  • Warner Robins, GA
National Provider Identifier
1366737785
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001694 Issued in GA
Legal business name
GENE WILLIAMS LICENSED CLINICAL SOCIAL WORKER
Practice address
2278 Moody Rd Ste D
Warner Robins, GA 31088-1933
Phone
(478) 929-0294
Fax
(478) 923-9770
NPI assigned
Jun 14, 2011
Last updated
Jun 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Gene E Williams, LCSW
Title
Owner
Phone
(478) 929-0294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW001694 GA Primary

Addresses

Primary practice location

2278 Moody Rd Ste D
Warner Robins, GA 31088-1933

Mailing address

2278 Moody Rd Ste D
Warner Robins, GA 31088-1933
Phone (478) 929-0294

National Provider Directory

National Provider Directory

Locations

2278 Moody Rd
Ste D
Warner Robins, GA 31088
Phone (478) 929-0294

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1366737785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 MOODY RD STE D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881933",
            "telephone_number": "478-929-0294",
            "fax_number": "478-923-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 MOODY RD STE D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881933",
            "telephone_number": "478-929-0294",
            "fax_number": "478-923-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE WILLIAMS LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-929-0294",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.