Active NPI
Susan Williams, MSW, LISW
- Clinical Social Worker
- Cedar Rapids, IA
National Provider Identifier
1790177657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007767
- Practice address
- 4403 1St Ave SE Ste 502
Cedar Rapids, IA 52402-3222 - Phone
- (319) 721-9088
- NPI assigned
- Mar 2, 2015
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 007767 | IA | |
| Clinical Social Worker | 1041C0700X | 007767 | IA | Primary |
Addresses
Primary practice location
4403 1St Ave SE Ste 502
Cedar Rapids, IA 52402-3222
Mailing address
617 Bartlet CT NW
Cedar Rapids, IA 52405-2858
Phone (319) 721-9088
Other practice location 1
1642 42nd St NE
Cedar Rapids, IA 52402-3076
Phone (319) 377-2161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007767 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Rapids Keys to Living | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Keys to Living Counseling Center
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1144404591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1790177657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 BARTLET CT NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524052858",
"telephone_number": "319-721-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 1ST AVE SE STE 502",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023222",
"telephone_number": "319-721-9088"
}
],
"practiceLocations": [
{
"address_1": "1642 42nd St NE",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524023076",
"country_code": "US",
"telephone_number": "319-377-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SUSAN",
"credential": "MSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "007767",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "007767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.