Active NPI
Michelle Achenne Williams, MSW, LSW
- Clinical Social Worker
- Washington, PA
National Provider Identifier
1366898652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW008005L
- Practice address
- 2114 N Franklin Dr
Washington, PA 15301-5891 - Phone
- (724) 222-5433
- Fax
- (724) 228-7619
- NPI assigned
- May 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | SW008005L | PA | Primary |
Addresses
Primary practice location
2114 N Franklin Dr
Washington, PA 15301-5891
Mailing address
4 Gina Dr
Washington, PA 15301-9533
Phone (724) 222-5433
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW008005L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Life Washington | Past | Accepting new patients | |
| Seniorlife Washington, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nursing Facility/Intermediate Care Facility
- Washington, PA
- NPI 1093109860
-
- PACE Provider Organization
- Washington, PA
- NPI 1497998876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1366898652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GINA DR",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153019533",
"telephone_number": "724-222-5433",
"fax_number": "724-228-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 N FRANKLIN DR",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153015891",
"telephone_number": "724-222-5433",
"fax_number": "724-228-7619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHELLE",
"middle_name": "ACHENNE",
"name_prefix": "Mrs.",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW008005L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.