Active NPI
Shari Lynnette Williams, LCSW
- Clinical Social Worker
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904011274
- Practice address
- 3143 Magic Hollow Blvd Ste 200
Virginia Beach, VA 23453-3077 - Phone
- (757) 385-4271
- NPI assigned
- Oct 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904011274 | VA | Primary |
Addresses
Primary practice location
3143 Magic Hollow Blvd Ste 200
Virginia Beach, VA 23453-3077
Mailing address
1322 Sagamore CT
Virginia Beach, VA 23464-8675
Phone (757) 450-5022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 E Southcross Blvd
SCC Pecan Valley Rehabilitation and Healthcar
San Antonio, TX 78222-3556
Phone (210) 581-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103778 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Sa I, LLC | Clinical | Current | Accepting new patients |
Locations
11127 Circle Dr
Austin, TX 78736
Phone (512) 288-8844
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815
3838 E Southcross Blvd
San Antonio, TX 78222
Phone (210) 581-2273
2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800
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": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1598307639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 SAGAMORE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648675",
"telephone_number": "757-450-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 MAGIC HOLLOW BLVD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234533077",
"telephone_number": "757-385-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHARI",
"middle_name": "LYNNETTE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904011274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.