Pamela Lynette Williams, RSW/CAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1606 Issued in LA

Practice address

1310 N Hearne Ave
Shreveport, LA 71107-6516

Phone

(318) 676-5111

Fax

(318) 676-5137

NPI assigned

Aug 31, 2006

Last updated

Jan 22, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwest Lousiana Human Services District

  dba Shreveport Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1821421686
  Medicare reassignment NPD
• Northwest Lousiana Human Services District

  dba Natchitoches Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Natchitoches, LA
  • NPI 1366875874
  NPD
• Northwest Lousiana Human Services District

  dba Many Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Many, LA
  • NPI 1700211299
  NPD
• Northwest Lousiana Human Services District

  dba Minden Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minden, LA
  • NPI 1144653817
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1740392281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5111",
            "fax_number": "318-676-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076516",
            "telephone_number": "318-676-5111",
            "fax_number": "318-676-5137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7505 Pines Rd Ste 1104",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711293900",
            "country_code": "US",
            "telephone_number": "318-670-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "LYNETTE",
        "name_prefix": "Miss",
        "credential": "RSW/CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1606",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "7726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Williams
• Niegi Michelle Williams
• Oriell Williams
• Pamela Williams
• Pamela Williams
• Patrice Williams
• Patti McBride Williams, LPC, LMFT
• Queyarner Williams
• Robert Bruce Williams, MD
• Roderickus Williams, NP

• Addiction (Substance Use Disorder) Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.

Verify at the official NPI Registry.