Larry A Williams, MSW, LCSW, SRT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

991033 Issued in CO

Practice address

4947 Fossil Butte Dr
Colorado Springs, CO 80923-5183

Phone

(719) 260-0822

Fax

(800) 653-0106

NPI assigned

Jun 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1487918488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 FOSSIL BUTTE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809235183",
            "telephone_number": "719-260-0822",
            "fax_number": "800-653-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4947 FOSSIL BUTTE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809235183",
            "telephone_number": "719-260-0822",
            "fax_number": "800-653-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LARRY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, SRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "991033",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CO",
            "license": "991033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Williams, MS, RD
• Kirsten Larson Williams
• Kristina Williams, LPC, LAC
• Krystal Williams
• Lamarria Williams
• Laura Williams, DO
• Leticia Williams, LPC
• Lindsay Williams
• Lindsay Sue Williams, OD
• Lisa Williams

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.