Wanda Lacarol Williams, MASTER'S SOCIAL WORK

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15735-130 Issued in WI

Practice address

6570 N 80TH St
208#
Milwaukee, WI 53223-5579

Phone

(414) 760-8653

NPI assigned

Aug 13, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1639484652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061939",
            "telephone_number": "414-445-1400",
            "fax_number": "414-445-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 N 80TH ST",
            "address_2": "208#",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235579",
            "telephone_number": "414-760-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WANDA",
        "middle_name": "LACAROL",
        "name_prefix": "Ms.",
        "credential": "MASTER'S SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15735-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Williams, RN
• Tonisha Sasha Williams
• Troy D Williams, TRANSPORT & MEDICAL
• Valerie Williams
• Valerie J Williams, APNP
• Waulonda Renee Williams, R.N.
• Winifred Faye Williams, RDH
• Zackery O Williams
• Zanetta N Williams
• Jerome Williamson

• Addiction (Substance Use Disorder) Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.