Active NPI
Charlene Yvette Williams, LMSW
- Social Worker
- Fort Stewart, GA
National Provider Identifier
1538487293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW004536
- Practice address
- 1061 Harmon Ave
Suite 1Do3
Fort Stewart, GA 31314-5641 - Phone
- (912) 767-5265
- Fax
- (912) 767-5271
- NPI assigned
- May 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW004536 | GA | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Suite 1Do3
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Suite 1Do3
Fort Stewart, GA 31314-5641
Phone (912) 767-5265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MSW004536 | Other | GA | MASTER SOCIAL WORKER LICENSE NO GA COMPOSITE BOARD OF PC, SW, AND MFT |
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 |
|---|---|---|---|
| MSW004536 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1538487293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 1DO3",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-767-5265",
"fax_number": "912-767-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 1DO3",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-767-5265",
"fax_number": "912-767-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHARLENE",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW004536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER SOCIAL WORKER LICENSE NO GA COMPOSITE BOARD OF PC, SW, AND MFT",
"identifier": "MSW004536",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.