Active NPI
Jeffrey B Williams, LLMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1720435290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801108680
- Practice address
- 79 W Alexandrine St
Detroit, MI 48201-2015 - Phone
- (313) 831-5535
- NPI assigned
- May 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801108680 | MI | Primary |
Addresses
Primary practice location
79 W Alexandrine St
Detroit, MI 48201-2015
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-5535
Other names 1
- Mr. Jeffrey B Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revived Mind Counseling Services | Social Worker | Current | Accepting new patients |
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients | |
| Complete Neuropsychology Services, Inc | Clinical | Past | Accepting new patients |
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.
-
- Social Worker
- Okemos, MI
- NPI 1083323570
-
- Clinical Neuropsychologist
- Ann Arbor, MI
- NPI 1629444328
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1720435290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 W ALEXANDRINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012015",
"telephone_number": "313-831-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 W ALEXANDRINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012015",
"telephone_number": "313-831-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEFFREY",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-15",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801108680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "WILLIAMS",
"middle_name": "B",
"prefix": "MR.",
"credential": "LLMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.