Paula Williams, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000362A Issued in IN

Practice address

236 W Edison Rd
Mishawaka, IN 46545-3184

Phone

(574) 903-6850

Fax

(574) 222-2466

NPI assigned

Nov 8, 2013

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reflections CounselingGroup PAC ID 1153624812, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reflections Counseling

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1023428711
  Medicare reassignment Care Compare group NPD
• Dr Heather Holleman LLC

  • Clinical Psychologist
  • South Bend, IN
  • NPI 1942999636
  NPD (past)

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1578992640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 MCKINLEY AVE STE C",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152733",
            "telephone_number": "574-903-6850",
            "fax_number": "574-222-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W EDISON RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453184",
            "telephone_number": "574-903-6850",
            "fax_number": "574-222-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAULA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000362A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brock Williams
• Kia Williams
• Lavonte Williams
• Mackenzie Williams, DDS
• Melanie Lynn Williams, PSYD
• Vivian Williams
• Gage Williamson, DO
• Laura Kay Williamson
• Zoey Willson
• Cristina Wilson, RN

• Clinical Social Worker in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.

Verify at the official NPI Registry.