Active NPI
Briana L Williams, LCSW, SAC
- Clinical Social Worker
- Two Rivers, WI
National Provider Identifier
1831549237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8592-123
- Practice address
- 1612 East St
Two Rivers, WI 54241-3054 - Phone
- (920) 905-5994
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16120-131 | WI | |
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 8592-123 | WI | Primary |
Addresses
Primary practice location
1612 East St
Two Rivers, WI 54241-3054
Mailing address
1612 East Street
Two Rivers, WI 54241
Phone (920) 905-5994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831549237 | Medicaid | WI |
Other names 1
- Briana Lynn Timreck
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8592-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831549237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 EAST STREET",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "54241",
"telephone_number": "920-905-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 EAST ST",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542413054",
"telephone_number": "920-905-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRIANA",
"middle_name": "L",
"credential": "LCSW, SAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "16120-131",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8592-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831549237",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANA",
"last_name": "TIMRECK",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Two Rivers, WI
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.