Organization Active NPI

Martha Williams, LCSW

  • Clinical Social Worker
  • Henning, TN
National Provider Identifier
1497998249
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW000001215 Issued in TN
Legal business name
MARTHA WILLIAMS, LCSW
Practice address
8301 Highway 87 W
Henning, TN 38041-6234
Phone
(731) 413-2422
Fax
(731) 738-0300
NPI assigned
Apr 9, 2009
Last updated
Apr 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Ms. Martha Williams, LCSW
Title
Owner
Phone
(731) 413-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LSW000001215 TN Primary

Addresses

Primary practice location

8301 Highway 87 W
Henning, TN 38041-6234

Mailing address

4789 Highway 371
Henning, TN 38041-6319
Phone (731) 413-2422

Other identifiers 1

IdentifierTypeStateIssuer
3698190MedicaidTN

National Provider Directory

National Provider Directory

Locations

8301 Highway 87 W
Henning, TN 38041
Phone (731) 413-2422

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1497998249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 HIGHWAY 371",
            "city": "HENNING",
            "state": "TN",
            "postal_code": "380416319",
            "telephone_number": "731-413-2422",
            "fax_number": "731-738-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 HIGHWAY 87 W",
            "city": "HENNING",
            "state": "TN",
            "postal_code": "380416234",
            "telephone_number": "731-413-2422",
            "fax_number": "731-738-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA WILLIAMS, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-413-2422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW000001215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3698190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henning, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.