Active NPI
Marida Williams, LMSW, LCSW
- Clinical Social Worker
- Frisco, TX
National Provider Identifier
1740633478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109559
- Practice address
- 5700 Dallas Pkwy
Frisco, TX 75034-9580 - Phone
- (469) 515-7100
- Fax
- (469) 515-7101
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801099966 | MI | |
| Clinical Social Worker | 1041C0700X | 109559 | TX | Primary |
Addresses
Primary practice location
5700 Dallas Pkwy
Frisco, TX 75034-9580
Mailing address
2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000
Other practice location 1
11480 Audelia Rd Apt 345
Dallas, TX 75243-9012
Phone (734) 695-0939
Other practice location 2
37458 Hixford Pl Apt C15
Westland, MI 48185-3360
Phone (734) 695-0939
Other practice location 3
3800 Gaylord Pkwy Ste 850
Frisco, TX 75034-0248
Phone (469) 857-2222
Other practice location 4
2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801099966 | MI | MD | Clinical Social Worker |
| 109559 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1740633478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 WELBORN ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193924",
"telephone_number": "214-559-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 DALLAS PKWY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349580",
"telephone_number": "469-515-7100",
"fax_number": "469-515-7101"
}
],
"practiceLocations": [
{
"address_1": "11480 Audelia Rd Apt 345",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752439012",
"country_code": "US",
"telephone_number": "734-695-0939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37458 Hixford Pl Apt C15",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481853360",
"country_code": "US",
"telephone_number": "734-695-0939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Gaylord Pkwy Ste 850",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750340248",
"country_code": "US",
"telephone_number": "469-857-2222",
"fax_number": "469-857-2223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 Welborn St",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752193924",
"country_code": "US",
"telephone_number": "214-559-5000",
"fax_number": "214-443-7309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARIDA",
"credential": "LMSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801099966",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "109559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.