Elizabeth Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C5932 Issued in MS

Practice address

10585 Three Rivers Rd Ste C
Gulfport, MS 39503-3572

Phone

(228) 604-0099

Fax

(228) 604-2001

NPI assigned

Feb 3, 2009

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 names 1

• Kim Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1467690164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 CRYSTAL WELL CT",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032793",
            "telephone_number": "228-832-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 THREE RIVERS RD STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033572",
            "telephone_number": "228-604-0099",
            "fax_number": "228-604-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WILLIAMS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandon Cole Williams, DMD
• Clifford Mondell Williams, RN
• Deandrea Breshea Williams
• Denisha Louise Williams, HAIR LOSS SPECIALIST
• Douglas C Williams
• Fred Williams, CRNA
• Heather Lauren Williams
• Jamie Leigh Williams, PH.D.
• Jamie Olsen Williams, PA-C
• Jennifer Lynn Williams, LCSW-C

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.