Charlene T Williamson, MA, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3584 Issued in LA

Practice address

625 S Burnside Ave Ste 2
Gonzales, LA 70737-3400

Phone

(225) 437-9535

Fax

(225) 647-3704

NPI assigned

Jun 10, 2008

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Williamson Therapy and Learning Center

  • Speech-Language Pathologist
  • Gonzales, LA
  • NPI 1033609094
  NPD Authorized official
• Alliance Therapy Services, Inc

  • Physical Therapy Clinic/Center
  • Gonzales, LA
  • NPI 1396831699
  NPD (past)
• The Hand Center, LLC

  • Specialist
  • Gonzales, LA
  • NPI 1689728073
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1861652380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ETTA DR",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707765619",
            "telephone_number": "225-939-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S BURNSIDE AVE STE 2",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373400",
            "telephone_number": "225-437-9535",
            "fax_number": "225-647-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "CHARLENE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia Elaine Williams
• Vanessa G. Williams, OWNER
• Yolanda Williams
• Williamson Eye Center
• Williamson Therapy and Learning Center
• Geraldine Wilson
• Tommy Wilson
• Benjamin Michael Wilt, PT, DPT, OCS
• Womans Physician Group
• Trevor Woods

• Speech-Language Pathologist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.