Edmond Deshawn Williams, MSW, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

421 SW Oak St
Suite 520
Portland, OR 97204-1817

Phone

(503) 312-2116

NPI assigned

Dec 19, 2006

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

Other names 1

• Edmond Deshawn Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• R.E.a.P.

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
  • NPI 1750127429
  NPD Authorized official
• Raising an Alternative Perspective Counseling and Counsulting LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1336648807
  NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1750445557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16932",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920932",
            "telephone_number": "503-334-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SW OAK ST",
            "address_2": "SUITE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041817",
            "telephone_number": "503-312-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDMOND",
        "middle_name": "DESHAWN",
        "credential": "MSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDMOND",
            "last_name": "WILLIAMS",
            "middle_name": "DESHAWN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dasha Williams
• Dean Edward Williams, LMFT, LPC
• Deborah Williams
• Diane H Williams, DO
• Dowell R. Williams Jr., MS
• Elizabeth Williams
• Elizabeth M Williams, MD
• Emma Williams, PA
• Emmaly V Williams, MA
• Eric Scott Williams, MSW, CSWA

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.