Laura E Williamson, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0900331 Issued in OH

Practice address

11101 Magnolia Dr
Cleveland, OH 44106-1813

Phone

(216) 721-3030

Fax

(216) 721-0105

NPI assigned

Jul 13, 2010

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 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Magnolia Clubhouse Inc

  • Adult Mental Health Clinic/Center
  • Cleveland, OH
  • NPI 1902139033
  Medicare reassignment

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1497067995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 MAGNOLIA DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061813",
            "telephone_number": "216-721-3030",
            "fax_number": "216-721-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 MAGNOLIA DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061813",
            "telephone_number": "216-721-3030",
            "fax_number": "216-721-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LAURA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0900331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341458441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodrina Monique Williams, RN
• Yvette M Williams
• Yvette Michele Williams
• Alexandra Kay Hargenrader Williamson, O.D.
• Kevin James Williamson, PCC-S
• Leah Williamson, ED.S
• Melissa Williamson
• Nicole Marie Williamson, FNP-C
• Patricia A Williamson
• Sierra Williamson

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.