Active NPI
Dawn Monique Williams, LCSW
- Clinical Social Worker
- Hinesville, GA
National Provider Identifier
1528338068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005596
- Practice address
- 203 Mary Lou Dr
Hinesville, GA 31313-3413 - Phone
- (912) 369-7777
- Fax
- (912) 369-2030
- NPI assigned
- Dec 30, 2011
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P006571 | NC | |
| Clinical Social Worker | 1041C0700X | CSW005596 | GA | Primary |
Addresses
Primary practice location
203 Mary Lou Dr
Hinesville, GA 31313-3413
Mailing address
80 Gentry Way
Richmond Hill, GA 31324-6328
Phone (910) 988-8870
Other practice location 1
303B S Main St
Laurinburg, NC 28352-3833
Phone (910) 610-4494
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 |
|---|---|---|---|
| CSW005596 | GA | MD | Clinical Social Worker |
| P006571 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Lou Fraser Foundation for Families, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fraser Center
- Mental Health Counselor
- Hinesville, GA
- NPI 1780738690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528338068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 GENTRY WAY",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246328",
"telephone_number": "910-988-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 MARY LOU DR",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313133413",
"telephone_number": "912-369-7777",
"fax_number": "912-369-2030"
}
],
"practiceLocations": [
{
"address_1": "303B S Main St",
"address_purpose": "LOCATION",
"city": "Laurinburg",
"state": "NC",
"postal_code": "283523833",
"country_code": "US",
"telephone_number": "910-610-4494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DAWN",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P006571",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.