Active NPI
Shanese N Williams, LCSW, LICSW
- Clinical Social Worker
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC20000206
- Practice address
- 2918 Minnesota Ave SE
Washington, DC 20019-1127 - Phone
- (202) 839-5310
- NPI assigned
- Nov 1, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC20000206 | DC | |
| Clinical Social Worker | 1041C0700X | 0904014497 | VA | |
| Clinical Social Worker | 1041C0700X | LC20000206 | DC | Primary |
Addresses
Primary practice location
2918 Minnesota Ave SE
Washington, DC 20019-1127
Mailing address
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (571) 495-9386
Other practice location 1
217 51st St NE Apt 21
Washington, DC 20019-5421
Phone (202) 702-2180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8221 Willow Oaks Corporate Dr
Fairfax Falls Church Community Services Boa
Fairfax, VA 22031-4512
Phone (703) 321-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC20000206 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aneu Lyfe | Clinical | Current | Accepting new patients |
| Fairfax County, Virginia | Current | Accepting new patients |
Locations
12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (703) 289-7599
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1154356244
DC
-
- Clinical Social Worker
- Washington, DC
- NPI 1568310142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1568179398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "571-495-9386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 MINNESOTA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200191127",
"telephone_number": "202-839-5310"
}
],
"practiceLocations": [
{
"address_1": "217 51st St NE Apt 21",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200195421",
"country_code": "US",
"telephone_number": "202-702-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHANESE",
"middle_name": "N",
"credential": "LCSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2025-07-14",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DC",
"license": "LC20000206",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014497",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC20000206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.