Jessica Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001778 Issued in DE

Practice address

300 Creek View Rd Ste 101a
Newark, DE 19711-8547

Phone

(302) 635-0505

Fax

(302) 355-3400

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Flynn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2024 through Mar 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oak & Evergreen Therapy and Consultation LLC

  • Mental Health Counselor
  • Wilmington, DE
  • NPI 1922872001
  NPD Authorized official
• Center for Grief Therapy and Education, P.a.

  dba Center for Grief and Trauma Therapy

  • Clinical Psychologist
  • Wilmington, DE
  • NPI 1962047746
  NPD (past)

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1700408408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CREEK VIEW RD STE 101A",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197118547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CREEK VIEW RD STE 101A",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197118547",
            "telephone_number": "302-635-0505",
            "fax_number": "302-355-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FLYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Williams
• Crystal Williams, LMSW
• Eileen L Williams, FNP-C
• Frederick M Williams, M.D.
• Georgia Williams
• Julia A.E. Williams
• Marshall T Williams, M.D., PHD
• Ryan Scott Williams, PA-C
• Shena Williams
• Tiffany Williams

• Clinical Social Worker in Newark, DE
• Providers in Newark, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.