Chester A Williams Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005971 Issued in NC

Practice address

6220 Thermal Rd
Charlotte, NC 28211-5630

Phone

(704) 366-8712

Fax

(704) 362-8479

NPI assigned

Jul 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crossroads Therapy LLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1629497300
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1639333271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220632",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282220632",
            "telephone_number": "704-366-8712",
            "fax_number": "704-362-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 THERMAL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115630",
            "telephone_number": "704-366-8712",
            "fax_number": "704-362-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHESTER",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carshena Monique Williams, FNP
• Charity Williams
• Charlene Denise Williams, LPN
• Charles Williams, PTA
• Charles Jerry Williams III, MD
• Christina Williams
• Christina Jennifer Williams
• Christopher R Williams
• Clayton Gray Williams, DMS, PA-C
• Cleya Mae Williams, DC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.