Individual provider Active NPI

Erin Ellen Williams

  • Social Worker
  • Birmingham, MI
National Provider Identifier
1619499613
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
295 Elm St Ste 5
Birmingham, MI 48009-6344
Phone
(248) 385-3447
NPI assigned
Jul 11, 2017
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

295 Elm St Ste 5
Birmingham, MI 48009-6344

Mailing address

27484 Sloan St
Novi, MI 48374-1008
Phone (246) 632-6763

Other practice location 1

37450 Schoolcraft Rd Ste 100
Livonia, MI 48150-1082
Phone (734) 458-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 15, 2024 through Oct 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1619499613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27484 SLOAN ST",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741008",
            "telephone_number": "246-632-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ELM ST STE 5",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096344",
            "telephone_number": "248-385-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37450 Schoolcraft Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501082",
            "country_code": "US",
            "telephone_number": "734-458-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERIN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.