Individual provider Active NPI

Jocelyn Renee Williams, MSW, LCSW

  • Clinical Social Worker
  • Buford, GA
National Provider Identifier
1770706111
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005886 Issued in GA
Practice address
2202 Shin CT
Buford, GA 30519-6806
Phone
(314) 650-6421
Fax
(636) 216-0010
NPI assigned
Apr 11, 2007
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2004004692 MO
Clinical Social Worker 1041C0700X CSW005886 GA Primary

Addresses

Primary practice location

2202 Shin CT
Buford, GA 30519-6806

Mailing address

PO Box 490333
Lawrenceville, GA 30049-0006
Phone (314) 650-6421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20171005002251 GA Practitioner - Clinical Social Worker 7618945569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
View Point HealthGroup PAC ID 0840272282, 33 clinicians

Practice addresses (Care Compare)

175 Kirkland Rd
Covington, GA 30016-3317
Phone (770) 784-3185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005886GAMDClinical Social Worker
2004004692MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
View Point Health CurrentSince Feb 1, 2021 Accepting new patients
Kambiz Aflatoon DO PastSince Apr 30, 2017 Accepting new patients
Center for Integrated Health, LLC Past Accepting new patients
Family Wellness Counseling, LC Clinical Past Accepting new patients

Locations

175 Kirkland Rd
Covington, GA 30016
Phone (770) 784-3185

175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1770706111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490333",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490006",
            "telephone_number": "314-650-6421",
            "fax_number": "636-216-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 SHIN CT",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196806",
            "telephone_number": "314-650-6421",
            "fax_number": "636-216-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOCELYN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004004692",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.