Tamara Lynn Williams

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

610 Thimble Shoals Blvd Ste 403
Newport News, VA 23606-2573

Phone

(757) 782-2042

Fax

(757) 506-0432

NPI assigned

Jan 7, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tonya Dorline Johnson LCSW LLC

  • Adult Mental Health Clinic/Center
  • Newport News, VA
  • NPI 1801394382
  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1588325872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FRIENDLY DR APT A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236051246",
            "telephone_number": "908-809-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD STE 403",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-782-2042",
            "fax_number": "757-506-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TAMARA@GORDONWELLNESSLLC.COM",
            "affiliation": "N",
            "address_1": "610 Thimble Shoals Blvd Ste 403",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236062573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Williams
• Shannon C Williams, MS, CCC-SLP
• Shawn Bynum Williams
• Sumer Nicole Williams, D.P.T.
• Tabitha B Williams, OT
• Tamara Patrice Williams, LPC
• Verneeta Lynne Williams, MD
• Williamsburg Orthotics and Prosthetics Inc
• Williamsburg Pediatric Dentistry PLLC
• Bridgitte Willis-Townsell

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.

Verify at the official NPI Registry.