Individual provider Active NPI

Zahara Williams, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1548406689
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58370 Issued in TX
Practice address
5515 Arapaho
Suite 247
Dallas, TX 75248
Phone
(469) 634-0050
NPI assigned
Dec 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58370 TX Primary

Addresses

Primary practice location

5515 Arapaho
Suite 247
Dallas, TX 75248

Mailing address

3824 Cedar Springs Rd # 153
Dallas, TX 75219-4136
Phone (469) 634-0050

Other practice location 1

8201 Hazelbrand Rd NE
Covington, GA 30014-1510
Phone (770) 784-3071

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
58370TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ivory Park PLLC Clinical Current Accepting new patients

Locations

3824 Cedar Springs Rd
Dallas, TX 75219
Phone (469) 634-0050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1548406689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 CEDAR SPRINGS RD # 153",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194136",
            "telephone_number": "469-634-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 ARAPAHO",
            "address_2": "SUITE 247",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "469-634-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Hazelbrand Rd NE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300141510",
            "country_code": "US",
            "telephone_number": "770-784-3071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ZAHARA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.