Chundra Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2016016569 Issued in MO

Practice address

1868 McKelvey Hill Dr
Apt D
Maryland Heights, MO 63043-3926

Phone

(314) 873-9723

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chundrawilliams@tdh.allscriptsdirect.net

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.

• Therapy Services

  • Community/Behavioral Health Agency
  • Maryland Heights, MO
  • NPI 1588119507
  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1407306343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 MCKELVEY HILL DR",
            "address_2": "APT D",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433926",
            "telephone_number": "314-873-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 MCKELVEY HILL DR",
            "address_2": "APT D",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433926",
            "telephone_number": "314-873-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHUNDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016016569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherman Jay Weaver, PHARMD
• Wayne Edward Weible, LPC
• Westport Pain Center
• Laquitta Antionette Wilder, LCSW
• Elysia S Willard, LMT
• Lindsey Rose Williams, PT
• Windham Enterprises, LLC
• Stoney Withers, LPC
• Madison Varanda Wriborg
• Weigang Zhu, M.D.

• Clinical Social Worker in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.

Verify at the official NPI Registry.