Cori Jamal Williams, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7 Cabot PL Ste 3B
Stoughton, MA 02072-4631

Phone

(857) 227-9101

Fax

(833) 553-4120

NPI assigned

Dec 17, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Quintessential Wellness Solutions LLC

  • Clinical Social Worker
  • Stoughton, MA
  • NPI 1750014817
  NPD Authorized official
• Fathers' Uplift Family Group, LLC

  • Clinical Social Worker
  • Dorchester, MA
  • NPI 1174975452
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1770054751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 LEGACY RIDGE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695930",
            "telephone_number": "857-829-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CABOT PL STE 3B",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724631",
            "telephone_number": "857-227-9101",
            "fax_number": "833-553-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021242012",
            "country_code": "US",
            "telephone_number": "617-708-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CORI",
        "middle_name": "JAMAL",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley White
• Donna J White, CRNA
• Melody Edwina White, MSN RN
• Whole Person Health, LLC
• Eugenia Alex Wilkinson, PMHNP-BC
• Jody A Williams, RN
• Karlie Rose Charlerne Williams
• Niara Williams
• Jacqueline Wilson, M.ED LMHC
• Kevin Wing

• Clinical Social Worker in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.