Andrea Sharee Williams

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

671 S Lewis Ave
Waukegan, IL 60085-6101

Phone

(312) 715-8623

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Catholic Charities of the Archdiocese of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1669583001
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1659974145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S LEWIS AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856101",
            "telephone_number": "312-715-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S LEWIS AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856101",
            "telephone_number": "312-715-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081131",
            "country_code": "US",
            "telephone_number": "312-236-5384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREA",
        "middle_name": "SHAREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "awilliams2@my.dom.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2310 W Roosevelt Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606081131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "andwilliams@catholiccharities.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "671 S Lewis Ave",
            "city": "Waukegan",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600856101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roosevelt White Jr.
• Whittaker Medical Transport LLC
• Sarah Wilhelm, LCSW
• Randy Will, CPRS
• Mesha Williams Jackson
• Georgia A Williams, D.D.S.
• Hazel Marie Williams
• Imani Williams
• Lisa Williams, LCSW
• Mayra L Williams, LCPC, CADC

• Social Worker in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.