Active NPI
Debbie Ann Williams, LCSW
- Social Worker
- Dallas, TX
National Provider Identifier
1679526859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 25887
- Practice address
- 4500 S. Lancaster Rd.
Mental Health Department (116a)
Dallas, TX 75216 - Phone
- (214) 857-1048
- Fax
- (972) 499-1275
- NPI assigned
- May 18, 2006
- Last updated
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 25887 | TX | Primary |
Addresses
Primary practice location
4500 S. Lancaster Rd.
Mental Health Department (116a)
Dallas, TX 75216
Mailing address
4500 S. Lancaster Rd.
Mental Health Department (116a)
Dallas, TX 75216
Phone (214) 857-1048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25887 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daybreak Wellness, PLLC | Current | Accepting new patients |
Locations
1666 N Hampton Rd
Ste 103
Desoto, TX 75115
Phone (469) 587-6330
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Desoto, TX
- NPI 1407469067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1679526859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S. LANCASTER RD.",
"address_2": "MENTAL HEALTH DEPARTMENT (116A)",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "214-857-1048",
"fax_number": "972-499-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S. LANCASTER RD.",
"address_2": "MENTAL HEALTH DEPARTMENT (116A)",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "214-857-1048",
"fax_number": "972-499-1275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DEBBIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "25887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.