Active NPI
William Eugene Williams, LCSW
- Clinical Social Worker
- Warner Robins, GA
National Provider Identifier
1871567693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001694
- Practice address
- 1047 N Houston Rd
Warner Robins, GA 31093-1505 - Phone
- (478) 923-3762
- Fax
- (478) 923-0362
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001694 | GA | Primary |
Addresses
Primary practice location
1047 N Houston Rd
Warner Robins, GA 31093-1505
Mailing address
PO Box 7737
Warner Robins, GA 31095-7737
Phone (478) 923-3762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055000354A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001694 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
| United Psychology Center, LLC | Current | Accepting new patients | |
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
| Paul R Coplin MD PC | Past | Accepting new patients |
Locations
2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288
1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Atlanta, GA
- NPI 1063704542
-
- Legal Medicine
- Warner Robins, GA
- NPI 1982811626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1871567693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7737",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310957737",
"telephone_number": "478-923-3762",
"fax_number": "478-923-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 N HOUSTON RD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310931505",
"telephone_number": "478-923-3762",
"fax_number": "478-923-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WILLIAM",
"middle_name": "EUGENE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "001694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055000354A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.