Joterrica Lynn Williams, LMSW PROVISIONAL

Primary specialty

Social WorkerTaxonomy code 104100000X

License

X-11871 Issued in NM

Practice address

123 Madeira Dr SE
Albuquerque, NM 87108-2963

Phone

(505) 262-1538

NPI assigned

Apr 12, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albuquerque Treatment Services LLC

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1801032958
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1669052841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 JET STREAM RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871207082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MADEIRA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082963",
            "telephone_number": "505-262-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOTERRICA",
        "middle_name": "LYNN",
        "credential": "LMSW PROVISIONAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-11871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Williams
• Jesse D Williams
• Jessica Williams, MD
• Joanne Marlene Williams, CNP
• John Glenn Williams, MD
• Karen Lashea Williams, FNP-C
• Kathleen N Williams, LSAA
• Kathryn A Williams, MD
• Kayla Williams
• Keely Williams

• Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.