Active NPI
Roselyn Denise Williams, MSW
- Clinical Social Worker
- Bowie, MD
National Provider Identifier
1619185808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05440
- Practice address
- 4100 Glenn Dale Rd
Bowie, MD 20720-3577 - Phone
- (301) 262-8328
- NPI assigned
- May 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 05440 | MD | Primary |
Addresses
Primary practice location
4100 Glenn Dale Rd
Bowie, MD 20720-3577
Mailing address
4100 Glenn Dale Rd
Bowie, MD 20720-3577
Phone (301) 262-8328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05440 | Other | MD | LCSW-C |
Other names 1
- Roselyn Denise Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05440 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Family Resource, Inc | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Landover, MD
- NPI 1326189036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619185808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 GLENN DALE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203577",
"telephone_number": "301-262-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 GLENN DALE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203577",
"telephone_number": "301-262-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ROSELYN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW-C",
"identifier": "05440",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSELYN",
"last_name": "WILLIAMS",
"middle_name": "DENISE",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.