Jeremiah Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002584 Issued in VA

Practice address

850 Tidewater Dr
Suite a
Norfolk, VA 23504-3300

Phone

(757) 663-7503

Fax

(757) 533-9634

NPI assigned

Sep 18, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Agape Counseling & Therapeutic Serv, Inc

  • Professional Counselor
  • Hampton, VA
  • NPI 1679830541

  Clinical

  NPD (past)
• Agape Counseling & Therapeutic Services, Inc

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1134148380

  Clinical

  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1508015124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TIDEWATER DR",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043300",
            "telephone_number": "757-663-7503",
            "fax_number": "757-533-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TIDEWATER DR",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043300",
            "telephone_number": "757-663-7503",
            "fax_number": "757-533-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Ashley Williams
• Fletcher Williams, CCHW
• Heather Lee Williams, RN
• Hope Elaine Williams, MSN, RN, CPNP-PC
• Janice Denise Williams, M.D. FACOG
• Jonathan Williams, MS, VATL, ATC, CSCS
• Judith V Williams, M.D.
• Kiara Williams, PHYSICIAN ASSISTANT
• Kristin Williams, MA, CCC-SLP
• Lane Allen Williams, MD

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.