Active NPI
Tiffany Williams
- Case Manager/Care Coordinator
- Worcester, MA
National Provider Identifier
1417297953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA | ||
| Health Educator | 174H00000X | |||
| Peer Specialist | 175T00000X | |||
| Case Manager/Care Coordinator | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Care of Massachusetts | Case Manager/Care Coordinator | Current | 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.
-
- Case Manager/Care Coordinator
- Worcester, MA
- NPI 1386174787
-
- Case Management Agency
- Worcester, MA
- NPI 1356681886
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.