Judith Anne Williams, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1310 Issued in NH

Practice address

40 College St
Hanover, NH 03755-1806

Phone

(603) 991-9612

Fax

(603) 643-5607

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1467657759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COLLEGE ST",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551806",
            "telephone_number": "603-991-9612",
            "fax_number": "603-643-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COLLEGE ST",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551806",
            "telephone_number": "603-991-9612",
            "fax_number": "603-643-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
            "identifier": "14Y012580NH01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30426308",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014449",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carson Wenz, PHARMD
• Alice Werbel
• Anna B West, MA, LCMHC
• Gloria Whaley, PHD, LP, LSP, NCSP
• Susan Lorraine Wilds, MA
• John Wilson, M.D.
• Steven Paul Wilson, MSW
• Elizabeth Wolfe, MD
• Paul R Wonsavage, D.D.S.
• Rebecca Wood, MD

• Clinical Social Worker in Hanover, NH
• Providers in Hanover, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.