Active NPI
Niegi Michelle Williams
- Social Worker
- Shreveport, LA
National Provider Identifier
1639845225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15919
- Practice address
- 458 Herndon St
Shreveport, LA 71101-4859 - Phone
- (318) 213-1804
- NPI assigned
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 15919 | LA | Primary |
Addresses
Primary practice location
458 Herndon St
Shreveport, LA 71101-4859
Mailing address
458 Herndon St
Shreveport, LA 71101-4859
Other practice location 1
856 Texas Ave
Shreveport, LA 71101-3400
Phone (318) 429-6938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M0000X | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | niegi.williams@voanorthla.org |
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 |
|---|---|---|---|
| 15919 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America of North Louisiana | Current | Accepting new patients |
Locations
2920 Knight St
Bldg 1
Shreveport, LA 71105
Phone (318) 213-1871
856 Texas Ave
Shreveport, LA 71101
Phone (318) 429-6938
458 Herndon St
Shreveport, LA 71101
Phone (318) 221-5565
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)
- Shreveport, LA
- NPI 1417252230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1639845225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 HERNDON ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 HERNDON ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014859",
"telephone_number": "318-213-1804"
}
],
"practiceLocations": [
{
"address_1": "856 Texas Ave",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711013400",
"country_code": "US",
"telephone_number": "318-429-6938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "NIEGI",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2022-12-27",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "15919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171M0000X",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "niegi.williams@voanorthla.org",
"affiliation": "N",
"address_1": "458 Herndon St",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711014859",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.