Individual provider Active NPI

Victoria Lynn Williams, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1831620657
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021173 Issued in IL
Practice address
211 E Chicago Ave Ste 1050
Chicago, IL 60611-2661
Phone
(312) 695-8630
Fax
(312) 694-1839
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.102021 IL
Clinical Social Worker 1041C0700X 149.021173 IL Primary

Addresses

Primary practice location

211 E Chicago Ave Ste 1050
Chicago, IL 60611-2661

Mailing address

211 E Chicago Ave Ste 1050
Chicago, IL 60611-2661
Phone (312) 695-8630

Other practice location 1

150 E Huron St
Chicago, IL 60611-2999
Phone (847) 848-6431

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.102021ILMDSocial Worker
149.021173ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1831620657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E CHICAGO AVE STE 1050",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112661",
            "telephone_number": "312-695-8630",
            "fax_number": "312-694-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E CHICAGO AVE STE 1050",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112661",
            "telephone_number": "312-695-8630",
            "fax_number": "312-694-1839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112999",
            "country_code": "US",
            "telephone_number": "847-848-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102021",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.