Active NPI
Shandoline Williams, LCSW
- Clinical Social Worker
- Round Rock, TX
National Provider Identifier
1417846098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2851 Joe Dimaggio Blvd Ste 7
Round Rock, TX 78665-3928 - Phone
- (512) 763-2186
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2851 Joe Dimaggio Blvd Ste 7
Round Rock, TX 78665-3928
Mailing address
2851 Joe Dimaggio Blvd Ste 7
Round Rock, TX 78665-3928
Phone (512) 763-2186
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1417846098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 JOE DIMAGGIO BLVD STE 7",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653928",
"telephone_number": "512-763-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 JOE DIMAGGIO BLVD STE 7",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653928",
"telephone_number": "512-763-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHANDOLINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
- Kailyn Alyse Williams, PT, DPT
- Kory Don Williams, D.P.M.
- Michael Anthony Williams Jr.
- Natasha P Williams
- Sarah Jean Williams, RD
- Solomon John Williams III
- Tara C Williams, SLPA
- Tavia Williams, OTD, OTR/L
- Williamson Burnet County Opportunites, Inc. (Round Rock Adult Day Health Care)
- Williamson County & Cities Health District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.