Individual provider Active NPI

Fallon Marie Brice-Williams, LMSW 33161- MD

  • Social Worker
  • Killeen, TX
National Provider Identifier
1700779287
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33161 Issued in MD
Practice address
5217 White Rose Dr
Killeen, TX 76542-7053
Phone
(443) 889-7530
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 33161 MD Primary

Addresses

Primary practice location

5217 White Rose Dr
Killeen, TX 76542-7053

Mailing address

250 American Way
Oxon Hill, MD 20745-4500
Phone (443) 889-7530

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33161MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1700779287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AMERICAN WAY",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207454500",
            "telephone_number": "443-889-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 WHITE ROSE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427053",
            "telephone_number": "443-889-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE-WILLIAMS",
        "first_name": "FALLON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW 33161- MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MD",
            "license": "33161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.