Active NPI
Latasha Monique Williams, LCSW
- Clinical Social Worker
- Madison, TN
National Provider Identifier
1497211387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4226
- Practice address
- Patriot Place (VA)
314 Williams Avenue, Ste. 100
Madison, TN 37115 - Phone
- (615) 521-2560
- Fax
- (615) 942-8570
- NPI assigned
- Feb 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-4226 | HI | Primary |
Addresses
Primary practice location
Patriot Place (VA)
314 Williams Avenue, Ste. 100
Madison, TN 37115
Mailing address
Patriot Place (VA)
314 Williams Avenue, Ste. 100
Madison, TN 37115
Phone (615) 521-2560
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 |
|---|---|---|---|
| LCSW-4226 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1497211387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PATRIOT PLACE (VA)",
"address_2": "314 WILLIAMS AVENUE, STE. 100",
"city": "MADISON",
"state": "TN",
"postal_code": "37115",
"telephone_number": "615-521-2560",
"fax_number": "615-942-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PATRIOT PLACE (VA)",
"address_2": "314 WILLIAMS AVENUE, STE. 100",
"city": "MADISON",
"state": "TN",
"postal_code": "37115",
"telephone_number": "615-521-2560",
"fax_number": "615-942-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LATASHA",
"middle_name": "MONIQUE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.