Active NPI
Melanie M Williams, LCSW
- Clinical Social Worker
- Bristol, VA
National Provider Identifier
1548380751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008594
- Practice address
- 125 Timber Oak Dr
Bristol, VA 24201-3065 - Phone
- (276) 696-1899
- NPI assigned
- Mar 30, 2007
- Last updated
- Jun 26, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q1-0000987 | DE | |
| Clinical Social Worker | 1041C0700X | 5494 | TN | |
| Clinical Social Worker | 1041C0700X | 0904008594 | VA | Primary |
Addresses
Primary practice location
125 Timber Oak Dr
Bristol, VA 24201-3065
Mailing address
125 Timber Oak Dr
Bristol, VA 24201-3065
Phone (276) 696-1899
Other practice location 1
156 S State St
Dover, DE 19901-7314
Phone (302) 674-2380 ext. 39
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12001318 | Other | DE | CAQH |
Other names 1
- Melanie McCarraher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5494 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Savida Health, PC | Current | Accepting new patients | |
| Savida Health,PC | Current | Accepting new patients | |
| People's Place II, Inc. | Past | Accepting new patients |
Locations
2725 W State St
Bristol, TN 37620
Phone (423) 764-5411
2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101
Interoperability endpoints
- https://api.platform.athenahealth.com/24804/brand/1/csg/21/fhir/r4
- melaniewilliams@tdh.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Bristol, TN
- NPI 1861118846
-
- Clinical Social Worker
- Bristol, VA
- NPI 1871110742
-
- Addiction Medicine (Internal Medicine) Physician
- Gilford, NH
- NPI 1285388546
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milford, DE
- NPI 1295871481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1548380751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 TIMBER OAK DR",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013065",
"telephone_number": "276-696-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 TIMBER OAK DR",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013065",
"telephone_number": "276-696-1899"
}
],
"practiceLocations": [
{
"address_1": "156 S State St",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "DE",
"postal_code": "199017314",
"country_code": "US",
"telephone_number": "302-674-2380 x39",
"fax_number": "302-674-1299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MELANIE",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0000987",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "5494",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904008594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12001318",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "MCCARRAHER",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bristol, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.