Jordan T Williams

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW011823 Issued in GA

Practice address

650 Henderson Dr Ste 406
Cartersville, GA 30120-3758

Phone

(770) 334-2493

NPI assigned

Apr 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Girasoles Counseling LLC

  • Professional Counselor
  • Cartersville, GA
  • NPI 1386330546
  NPD
• A Healing Journey Counseling & Consultation

  • Clinical Social Worker
  • Cartersville, GA
  • NPI 1598032146
  NPD (past)

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1750137097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR STE 406",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR STE 406",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203758",
            "telephone_number": "770-334-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORDAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Cline DMD PC
• Amy Reinhardt Williams, CCC SLP
• Howard Jamie Williams, PA-C
• James Michael Williams, MD
• Jerry Lee Williams, DMD
• Kristen Williams, LPC
• Margaret Rene Williams, N.P.
• Sharon K Williams, MS RD LD
• Tammy Watkins Williams, MD
• Tara Williams, CRNA

• All providers in Cartersville, GA
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.