Organization Active NPI

Ato Williams

Doing business as Real Talk Therapy, LCSW

  • Social Worker
  • Middletown, NY
National Provider Identifier
1609621507
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ATO WILLIAMS
Doing business as
Real Talk Therapy, LCSW
Practice address
10 Avoncroft LN
Middletown, NY 10940-5078
Phone
(347) 206-5699
NPI assigned
Apr 23, 2024
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Ato A Williams, LCSW, CASAC-MCNPI 1427590447
Title
Owner/Operator
Phone
(347) 206-5699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

10 Avoncroft LN
Middletown, NY 10940-5078

Mailing address

10 Avoncroft LN
Middletown, NY 10940-5078
Phone (347) 206-5699

Other names 1

  • Real Talk Therapy, LCSW Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1609621507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AVONCROFT LN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405078",
            "telephone_number": "347-206-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVONCROFT LN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405078",
            "telephone_number": "347-206-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATO WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ATO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "347-206-5699",
        "authorized_official_credential": "LCSW, CASAC-MC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Talk Therapy, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.