Individual provider Active NPI

Alicia J Wiliams

  • Case Manager/Care Coordinator
  • South Bend, IN
National Provider Identifier
1760391759
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
52174 Myrtle Ave
South Bend, IN 46637-3832
Phone
(574) 485-9697
NPI assigned
Sep 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X IN Primary

Addresses

Primary practice location

52174 Myrtle Ave
South Bend, IN 46637-3832

Mailing address

52174 Myrtle Ave
South Bend, IN 46637-3832
Phone (574) 485-9697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1760391759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52174 MYRTLE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373832",
            "telephone_number": "574-485-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52174 MYRTLE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373832",
            "telephone_number": "574-485-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILIAMS",
        "first_name": "ALICIA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.