David Williams III, MSW, LCI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW12560 Issued in FL

Practice address

3551 S Blair Stone Rd Ste 128-234
Tallahassee, FL 32301-8826

Phone

(352) 577-9261

NPI assigned

Feb 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD
• Innovative a.C.T.S LLC

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1700641362
  NPD Authorized official
• Florida Therapy Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pensacola, FL
  • NPI 1407427800
  NPD

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1598359853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 S BLAIR STONE RD STE 128-234",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323018826",
            "telephone_number": "352-577-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 S BLAIR STONE RD STE 128-234",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323018826",
            "telephone_number": "352-577-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "name_suffix": "III",
        "credential": "MSW, LCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW12560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "ISW12560",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cinitra L Williams, MSW
• Colleen Michelle Williams, LCSW
• Courtnie Michelle Williams
• D'Iavian Williams
• Danyelle Williams
• Demetria Simone Williams
• Dennis Eugene Williams, M.D.
• Ebony Williams, LCSW
• Edrienne Lorraine Williams, BACHELOR OF SCIENCE
• Edwardo D Williams, MD

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.