Individual provider Active NPI

Rashida Amra Williams, LCSWR

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1831296896
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072503 Issued in NY
Practice address
153 W Utica St
Buffalo, NY 14222-2017
Phone
(716) 884-7569
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 072503 NY Primary

Addresses

Primary practice location

153 W Utica St
Buffalo, NY 14222-2017

Mailing address

153 W Utica St
Buffalo, NY 14222-2017
Phone (716) 884-7569

Other practice location 1

6265 Sheridan Dr Ste 122
Williamsville, NY 14221-4826
Phone (716) 903-5676

Other practice location 2

65 Tremont Ave
Kenmore, NY 14217-2331
Phone (716) 903-5676

Other identifiers 2

IdentifierTypeStateIssuer
00030241501OtherNYUNIVERA
000506354005OtherNYCOMMUNITY BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070508000248 NY Practitioner - Clinical Social Worker 7618073669 Reassigns benefits to 2 organizations
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072503NYMDPharmacist

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1831296896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W UTICA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222017",
            "telephone_number": "716-884-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W UTICA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222017",
            "telephone_number": "716-884-7569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6265 Sheridan Dr Ste 122",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142214826",
            "country_code": "US",
            "telephone_number": "716-903-5676",
            "fax_number": "716-903-5676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142172331",
            "country_code": "US",
            "telephone_number": "716-903-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMRA WILLIAMS",
        "first_name": "RASHIDA",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030241501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000506354005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.