Active NPI
Robert Dean Williams, MSW
- Clinical Social Worker
- Macy, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1595
- Practice address
- 100 Indian Hills Dr
Macy, NE 68039-3023 - Phone
- (402) 837-5381
- NPI assigned
- Jun 27, 2012
- Last updated
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1595 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 000397 | IA |
Addresses
Primary practice location
100 Indian Hills Dr
Macy, NE 68039-3023
Mailing address
100 Indian Hills Dr
PO Box 250
Macy, NE 68039-3023
Phone (402) 837-5381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 W 19TH St
Sioux City, IA 51103-2333
Phone (712) 233-3127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000397 | IA | MD | Clinical Social Worker |
| 00397 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current | Accepting new patients |
Locations
1202 Ridge Rd
Denison, IA 51442
Phone (712) 263-5611
309 Railroad St
Hull, IA 51239
Phone (712) 439-2758
204 N Keokuk Washington Rd
Keota, IA 52248
Phone (641) 636-3400
2121 W 19th St
Sioux City, IA 51103
Phone (712) 233-3127
2045 W Grand Ave
Ste B28354
Chicago, IL 60612
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1700140472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 INDIAN HILLS DR",
"address_2": "PO BOX 250",
"city": "MACY",
"state": "NE",
"postal_code": "680393023",
"telephone_number": "402-837-5381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDIAN HILLS DR",
"city": "MACY",
"state": "NE",
"postal_code": "680393023",
"telephone_number": "402-837-5381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ROBERT",
"middle_name": "DEAN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1595",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "000397",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macy, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.