Active NPI
Bobby Williams, LCSW
- Clinical Social Worker
- Natchitoches, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9455
- Practice address
- 210 Medical Dr
Natchitoches, LA 71457-6052 - Phone
- (318) 357-3122
- Fax
- (318) 357-3240
- NPI assigned
- Dec 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9455 | LA | Primary |
Addresses
Primary practice location
210 Medical Dr
Natchitoches, LA 71457-6052
Mailing address
510 Rea St
Mansfield, LA 71052-2142
Phone (318) 357-3122
Other practice location 1
505 S Capitol St
Many, LA 71449-3053
Phone (318) 222-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9455 | Other | LA | LICENSE # LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170412001265 | LA | Practitioner - Clinical Social Worker | 1951687656 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1640 Breazeale Springs St
Nachitoches, LA 71457-4278
Phone 31835720713205
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9455 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Medical Center, Inc. | Current | Accepting new patients | |
| Northwest Lousiana Human Services District | Current | Accepting new patients | |
| Outpatient Medical Center, Inc. | Current | Accepting new patients |
Locations
908 S 10th St
#B
Leesville, LA 71446
Phone (337) 238-1274
210 Medical Dr
Natchitoches, LA 71457
Phone (318) 357-3122
1640 Breazeale Springs St
Natchitoches, LA 71457
Phone (318) 352-9299
1310 N Hearne Ave
Shreveport, LA 71107
Phone (318) 676-5111
Interoperability endpoints
- bobbywilliamslcsw@nlhsd.direct.kno2fy.com
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.
-
- Federally Qualified Health Center (FQHC)
- Natchitoches, LA
- NPI 1871523266
LA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1821421686
-
- Federally Qualified Health Center (FQHC)
- Leesville, LA
- NPI 1285664508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1699196188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 REA ST",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710522142",
"telephone_number": "318-357-3122",
"fax_number": "318-357-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MEDICAL DR",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714576052",
"telephone_number": "318-357-3122",
"fax_number": "318-357-3240"
}
],
"practiceLocations": [
{
"address_1": "505 S Capitol St",
"address_purpose": "LOCATION",
"city": "Many",
"state": "LA",
"postal_code": "714493053",
"country_code": "US",
"telephone_number": "318-222-8511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BOBBY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-30",
"last_updated": "2025-09-12",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "9455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE # LCSW",
"identifier": "9455",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.