Individual provider Active NPI

Brittany Shakai Williams, MSW, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1588914758
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010132 Issued in NC
Practice address
7900 McCloud Rd Ste 101
Greensboro, NC 27409-3232
Phone
(336) 931-1800
NPI assigned
Sep 14, 2012
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06025800 NJ
Clinical Social Worker 1041C0700X C010132 NC Primary
Developmental Therapist 222Q00000X NU

Addresses

Primary practice location

7900 McCloud Rd Ste 101
Greensboro, NC 27409-3232

Mailing address

7900 McCloud Rd Ste 101
Greensboro, NC 27409-3232
Phone (336) 931-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20220709000466 NJ Practitioner - Clinical Social Worker 5698155596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C010132NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical NJ, P.C CurrentSince Jun 1, 2022 Accepting new patients

Locations

221 River St
Ste 901
Hoboken, NJ 07030
Phone (201) 308-8252

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1588914758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 MCCLOUD RD STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274093232",
            "telephone_number": "336-931-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 MCCLOUD RD STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274093232",
            "telephone_number": "336-931-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRITTANY",
        "middle_name": "SHAKAI",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06025800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010132",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.