Audra Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52077 Issued in TX

Practice address

3324 Hummingbird LN
Denton, TX 76209-4833

Phone

(940) 220-0866

NPI assigned

Jul 7, 2015

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment NPD
• Mindful Health of Texas, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockwall, TX
  • NPI 1295404507
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1477936581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 HUMMINGBIRD LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762094833",
            "telephone_number": "940-220-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 HUMMINGBIRD LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762094833",
            "telephone_number": "940-220-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AUDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Widmer, PT, DPT
• Randy Anthony Wiebelhaus, O.D.
• Wild Blossoms Counseling, PLLC
• Adam Wayne Williams, D.C.
• Amy Williams
• Bryant Williams, MT-BC
• Charlie Brendan Williams, M.D.
• Emily Nicole Williams, NP
• Kevin Williams, CSFA
• Lora Williams, MS, RD, LD

• Clinical Social Worker in Denton, TX
• Providers in Denton, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.