Individual provider Active NPI

Veryl R Williams, LMSW, PHD

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1467472506
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085796 Issued in MI
Practice address
39555 Orchard Hill PL
Suite 600, PMB 6234
Novi, MI 48375-5374
Phone
(734) 740-4585
Fax
(734) 484-5475
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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 6801085796 MI Primary

Addresses

Primary practice location

39555 Orchard Hill PL
Suite 600, PMB 6234
Novi, MI 48375-5374

Mailing address

PO Box 87474
Canton, MI 48187-0474
Phone (734) 740-4585

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6801085796MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DBT Center of Michigan, PLLC PastSince Oct 5, 2016 Accepting new patients
DBT Institute of Mi PastSince May 12, 2024 Accepting new patients

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1467472506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87474",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481870474",
            "telephone_number": "734-740-4585",
            "fax_number": "734-484-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 ORCHARD HILL PL",
            "address_2": "SUITE 600, PMB 6234",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755374",
            "telephone_number": "734-740-4585",
            "fax_number": "734-484-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VERYL",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LMSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.