Individual provider Active NPI

Paula Marie Williams, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1649667924
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904018642 Issued in VA
Practice address
575 Lynnhaven Pkwy Ste 305
Virginia Beach, VA 23452-7350
Phone
(804) 207-6737
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 093756-1 NY
Clinical Social Worker 1041C0700X 098780 NY
Clinical Social Worker 1041C0700X 0904018642 VA Primary

Addresses

Primary practice location

575 Lynnhaven Pkwy Ste 305
Virginia Beach, VA 23452-7350

Mailing address

575 Lynnhaven Pkwy Ste 305
Virginia Beach, VA 23452-7350
Phone (804) 207-6737

Other names 1

  • Paula Marie Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241213001662 NY Practitioner - Clinical Social Worker 0042746000 Reassigns benefits to 2 organizations
I20250809000193 VA Practitioner - Clinical Social Worker 0042746000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizon Counseling Center IncGroup PAC ID 4880681295, 87 clinicians
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

2460 Flatbush Ave
Brooklyn, NY 11234-5013
Phone (718) 634-6081

575 Lynnhaven Pkwy
Suite 305
Virginia Beach, VA 23452-7350
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093756-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Jul 1, 2025 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Nov 6, 2024 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

575 Lynnhaven Pkwy
Ste 305
Virginia Beach, VA 23452
Phone (757) 274-8228

Organizations & group practices 3

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1649667924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LYNNHAVEN PKWY STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527350",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LYNNHAVEN PKWY STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527350",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093756-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098780",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.