Lateldrin Denise Williams, LMSW, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

256167 Issued in KY

Practice address

128 Trillium CT
Clarksville, TN 37043-2148

Phone

(859) 379-8195

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Pillars of Hope Counseling LLC

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1992559751

  KY

  Medicare reassignment NPD Authorized official
• Minds Matter

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1124680012
  NPD (past)
• Minds Matter

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1730740309
  NPD (past)

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1679244453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MICHIGAN AVE STE 335",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235614",
            "telephone_number": "573-673-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 TRILLIUM CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432148",
            "telephone_number": "859-379-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LATELDRIN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TN",
            "license": "10772",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "256167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Annette Williams, L.C.S.W.
• Katherine Elizabeth Williams
• Korrin Williams
• Kristen Williams
• Kyle Williams, PHARMD
• Lauren Elizabeth Williams, DPT
• Malcolm Williams
• Matthew Williams, PHARMD
• Nichelle Denise Williams
• Olivia L Williams

• Clinical Social Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.