Individual provider Active NPI

Caroline Stuart Williams, MA, LPCA

  • Counselor
  • Clover, SC
National Provider Identifier
1720634637
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LCPA7190 Issued in SC
Practice address
508 Bethel St
Clover, SC 29710-1154
Phone
(803) 675-8227
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCPA7190 SC Primary

Addresses

Primary practice location

508 Bethel St
Clover, SC 29710-1154

Mailing address

107 Mint St
Clover, SC 29710-1513
Phone (704) 616-9972

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
LCPA7190SCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Services CurrentSince Aug 18, 2019 Accepting new patients
Real Connections Counseling and Wellness LLC PastSince Aug 18, 2019 Accepting new patients

Locations

508 Bethel St
Clover, SC 29710
Phone (803) 526-5227

Organizations & group practices 2

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1720634637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MINT ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101513",
            "telephone_number": "704-616-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BETHEL ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101154",
            "telephone_number": "803-675-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROLINE",
        "middle_name": "STUART",
        "credential": "MA, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "LCPA7190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clover, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.