Individual provider Active NPI

Debra A Williams, MSW, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1649575838
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
WY-764 Issued in WY
Practice address
623 W 20TH St
Cheyenne, WY 82001-3501
Phone
(307) 222-9046
Fax
(307) 316-8792
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X WY-764 WY Primary

Addresses

Primary practice location

623 W 20TH St
Cheyenne, WY 82001-3501

Mailing address

2836 Dixon Creek LN
Fort Collins, CO 80526-6272
Phone (307) 222-9046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20220517002954 WY Practitioner - Clinical Social Worker 9537546353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WY-764WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Woods Wellness and Counseling Clinical CurrentSince Aug 24, 2024 Accepting new patients
Janel M Reese LCSW LLC Clinical PastSince Jul 16, 2023 Accepting new patients

Locations

623 W 20th St
Cheyenne, WY 82001
Phone (307) 222-9651

721 E Lincolnway
Cheyenne, WY 82001
Phone (307) 220-0485

Organizations & group practices 2

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": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1649575838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 DIXON CREEK LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266272",
            "telephone_number": "307-222-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W 20TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013501",
            "telephone_number": "307-222-9046",
            "fax_number": "307-316-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2022-11-15",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "WY-764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.