Individual provider Active NPI

Tiffany Williams

  • Case Manager/Care Coordinator
  • Worcester, MA
National Provider Identifier
1417297953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
340 Main St Ste 910-2
Worcester, MA 01608-1601
Phone
(857) 333-4525
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MA
Health Educator 174H00000X
Peer Specialist 175T00000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

340 Main St Ste 910-2
Worcester, MA 01608-1601

Mailing address

340 Main St Ste 910-2
Worcester, MA 01608-1601
Phone (857) 333-4525

Other practice location 1

121 Shrewsbury St
Worcester, MA 01604-4604
Phone (508) 579-9267

Other practice location 2

42 Merrifield St
Worcester, MA 01605-5025
Phone (857) 333-4525

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Care of Massachusetts Case Manager/Care Coordinator CurrentSince Jul 24, 2022 Accepting new patients
Massachusetts Minority AIDS Partnership Past Accepting new patients

Locations

340 Main St
Ste 910-2
Worcester, MA 01608
Phone (857) 333-4525

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.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417297953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST STE 910-2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081601",
            "telephone_number": "857-333-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAIN ST STE 910-2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081601",
            "telephone_number": "857-333-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Shrewsbury St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016044604",
            "country_code": "US",
            "telephone_number": "508-579-9267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Merrifield St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016055025",
            "country_code": "US",
            "telephone_number": "857-333-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIFFANY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.