Individual provider Active NPI

Bobby Williams, LCSW

  • Clinical Social Worker
  • Natchitoches, LA
National Provider Identifier
1699196188
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9455 Issued in LA
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

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9455OtherLALICENSE # 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Outpatient Medical Center, Inc.Group PAC ID 5597651794, 10 clinicians

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

LicenseStateTypeSpecialty
9455LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Medical Center, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Northwest Lousiana Human Services District Current Accepting new patients
Outpatient Medical Center, Inc. CurrentSince Jan 12, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.