Individual provider Active NPI

Tauchiana Jahnale Williams, DSW, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1417123845
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006041 Issued in NC
Practice address
1530 N Gregson St
Suite 3a
Durham, NC 27701-1155
Phone
(919) 416-1830
Fax
(919) 416-8883
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006041 NC Primary

Addresses

Primary practice location

1530 N Gregson St
Suite 3a
Durham, NC 27701-1155

Mailing address

1530 N Gregson St
Suite 3a
Durham, NC 27701-1155
Phone (919) 416-1830

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006041NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gilfort, Atkinson & Associates Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1417123845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N GREGSON ST",
            "address_2": "SUITE 3A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011155",
            "telephone_number": "919-416-1830",
            "fax_number": "919-416-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N GREGSON ST",
            "address_2": "SUITE 3A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011155",
            "telephone_number": "919-416-1830",
            "fax_number": "919-416-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAUCHIANA",
        "middle_name": "JAHNALE",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.