Active NPI
Logan Williams, LSW
- Social Worker
- Belleville, IL
National Provider Identifier
1477378206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.114446
- Practice address
- 900 Royal Heights Rd Ste 2150
Belleville, IL 62226-5457 - Phone
- (800) 997-9702
- NPI assigned
- Nov 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.114446 | IL | Primary |
Addresses
Primary practice location
900 Royal Heights Rd Ste 2150
Belleville, IL 62226-5457
Mailing address
1811 Jewel Sisson Dr Unit 301
Swansea, IL 62223-3566
Phone (618) 803-0935
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.114446 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1477378206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 JEWEL SISSON DR UNIT 301",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622233566",
"telephone_number": "618-803-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROYAL HEIGHTS RD STE 2150",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265457",
"telephone_number": "800-997-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LOGAN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.114446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.