Individual provider Active NPI

Sheri Anna Williamson, MSW

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1801396551
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026350
Practice address
3838 Balmoral Dr
Champaign, IL 61822-8117
Phone
(217) 721-4287
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.026350 Primary

Addresses

Primary practice location

3838 Balmoral Dr
Champaign, IL 61822-8117

Mailing address

3838 Balmoral Dr
Champaign, IL 61822-8117
Phone (217) 721-4287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240315002469 IL Practitioner - Clinical Social Worker 1052757796 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Truecare24 Physicians Group, S.C.Group PAC ID 7012308802, 26 clinicians
Serene HealthGroup PAC ID 0244652139, 23 clinicians

Practice addresses (Care Compare)

111 W Jackson Blvd
Chicago, IL 60604-3589
Phone (855) 227-3574

16335 Harlem Ave
Suite 300
Tinley Park, IL 60477-2574
Phone (844) 737-3638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Health Ipa CurrentSince Oct 21, 2024 Accepting new patients
Serene Health Mental Health CurrentSince Oct 21, 2024 Accepting new patients
Truecare24 Physicians Group, S.C. Mental Health CurrentSince Jan 29, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 27, 2024 Accepting new patients

Locations

9265 Sky Park Ct
Ste 100
San Diego, CA 92123
Phone (619) 329-4483

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

111 W Jackson Blvd
Chicago, IL 60604
Phone (312) 251-2300

16335 Harlem Ave
Ste 300
Tinley Park, IL 60477
Phone (773) 598-8723

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1801396551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 BALMORAL DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228117",
            "telephone_number": "217-721-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 BALMORAL DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228117",
            "telephone_number": "217-721-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "SHERI",
        "middle_name": "ANNA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "149.026350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.