Individual provider Active NPI

Karen Lisa Williams, LCSW

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1457022303
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013252 Issued in VA
Practice address
1000 Commercial LN
Suffolk, VA 23434-8148
Phone
(757) 925-2484
Fax
(757) 925-2205
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 0904013252 VA Primary

Addresses

Primary practice location

1000 Commercial LN
Suffolk, VA 23434-8148

Mailing address

3436 Clover Rd E
Chesapeake, VA 23321-4417
Phone (757) 652-5427

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Tidewater Community Mental CurrentSince Feb 14, 2025 Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

1801 S Church St
Ste 6
Smithfield, VA 23430

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1457022303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 CLOVER RD E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214417",
            "telephone_number": "757-652-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCIAL LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348148",
            "telephone_number": "757-925-2484",
            "fax_number": "757-925-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAREN",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.