Active NPI
Jillian Jackson Williams, LCSW
- Clinical Social Worker
- Narberth, PA
National Provider Identifier
1730560665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019953
- Practice address
- 104 1/2 Forrest Ave
Narberth, PA 19072-2220 - Phone
- (215) 534-1604
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW132001 | PA | |
| Clinical Social Worker | 1041C0700X | CW019953 | PA | Primary |
Addresses
Primary practice location
104 1/2 Forrest Ave
Narberth, PA 19072-2220
Mailing address
828 Merrill Rd
Ambler, PA 19002-2645
Phone (215) 534-1604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW132001 | PA | MD | Social Worker |
| CW019953 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jjwilliams Counseling LLC | Clinical | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Narberth, PA
- NPI 1598461451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1730560665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 MERRILL RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190022645",
"telephone_number": "215-534-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 1/2 FORREST AVE",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722220",
"telephone_number": "215-534-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JILLIAN",
"middle_name": "JACKSON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2023-01-26",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW132001",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.