Mark E Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC14750 Issued in ME

Practice address

32 Evans Ridge Rd # 2
Windham, ME 04062-4654

Phone

(207) 572-2662

NPI assigned

Nov 2, 2006

Last updated

Mar 15, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD (past)
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1760560072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 EVANS RIDGE RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624654",
            "telephone_number": "732-572-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 EVANS RIDGE RD # 2",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624654",
            "telephone_number": "207-572-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "LC00061300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Wheaton, PTA
• Chester Warren Whittier, HEARING SPECIALIST
• Colleen Lucy Whitton
• Anya Wilhelmi, PMHNP
• Laurie Anne Willey, PHARMD
• Robert Williams, PHD
• Windham Dental Group PC (Lifetime Dental Health)
• Windham Dentistry LLC (Dental Office of Dr Leslie Elston)
• Windham Residential Care Facility (carols residential care facility)
• Windham Residential Care Facility

• Clinical Social Worker in Windham, ME
• Providers in Windham, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.