Individual provider Active NPI

Birnie Edward Williams II, MSW, LICSW, LCSW

  • Clinical Social Worker
  • East Longmeadow, MA
National Provider Identifier
1467625905
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122767 Issued in MA
Practice address
270 Benton Dr
East Longmeadow, MA 01028-3233
Phone
(413) 567-9993
Fax
(413) 244-2650
NPI assigned
Apr 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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 122767 MA Primary

Addresses

Primary practice location

270 Benton Dr
East Longmeadow, MA 01028-3233

Mailing address

24 Sugarloaf St Unit B
South Deerfield, MA 01373-1144
Phone (413) 575-5372

Other practice location 1

702 Johns Hopkins Dr
Greenville, NC 27834-7220
Phone (252) 757-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000129 MA Practitioner - Clinical Social Worker 9436337938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

171 Dwight Rd
Suite 301a
Longmeadow, MA 01106-1700
Phone (413) 349-8115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122767MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ubuntu Omoiyari Therapy Group PLLC Clinical CurrentSince Sep 12, 2025 Accepting new patients

Locations

171 Dwight Rd
Ste 301A
Longmeadow, MA 01106
Phone (413) 349-8115

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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1467625905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SUGARLOAF ST UNIT B",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013731144",
            "telephone_number": "413-575-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BENTON DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283233",
            "telephone_number": "413-567-9993",
            "fax_number": "413-244-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Johns Hopkins Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278347220",
            "country_code": "US",
            "telephone_number": "252-757-0123",
            "fax_number": "252-757-3461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BIRNIE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.