Individual provider Active NPI

Shimele Williams

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1639612187
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5420 Corporate Blvd Ste 308
Baton Rouge, LA 70808-2548
Phone
(225) 364-2550
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

5420 Corporate Blvd Ste 308
Baton Rouge, LA 70808-2548

Mailing address

5420 Corporate Blvd Ste 308
Baton Rouge, LA 70808-2548
Phone (225) 364-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429002917 LA Practitioner - Clinical Social Worker 4789151887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Area Human Services DistrictGroup PAC ID 2769450733, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

1056 E Worthy St
Suite B
Gonzales, LA 70737-4369
Phone (225) 621-5770

2751 Wooddale Blvd
Suite a
Baton Rouge, LA 70805-7567
Phone (225) 925-1906

7855 Howell Blvd
Suite 200
Baton Rouge, LA 70807-5257
Phone (225) 359-9315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
La Solucion Familiar Servicios Para Ninos Y Adultos, LLC Past Accepting new patients
Solutions for Families, Inc. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1639612187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 CORPORATE BLVD STE 308",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082548",
            "telephone_number": "225-364-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 CORPORATE BLVD STE 308",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082548",
            "telephone_number": "225-364-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHIMELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.