Individual provider Active NPI

Lora Sue Williams, LCSW

  • Clinical Social Worker
  • Clayton, NC
National Provider Identifier
1881033835
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008251 Issued in NC
Practice address
501 Gateway Dr
Suite 101
Clayton, NC 27520-2277
Phone
(919) 744-4461
NPI assigned
Jun 21, 2013
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008251 NC Primary

Addresses

Primary practice location

501 Gateway Dr
Suite 101
Clayton, NC 27520-2277

Mailing address

176 Claire Dr
Clayton, NC 27520-5539
Phone (919) 550-1921

Other names 1

  • Mrs. Lora Wilkinson Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130812000294 NC Practitioner - Clinical Social Worker 2860634524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope and Restoration Pathways Christian CounselingGroup PAC ID 8426391699, 2 clinicians

Practice addresses (Care Compare)

310 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 803-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008251NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Restoration Pathways Christian Counseling Clinical CurrentSince Jan 1, 2019 Accepting new patients

Locations

310 New Fidelity Ct
Garner, NC 27529
Phone (919) 744-4461

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1881033835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 CLAIRE DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205539",
            "telephone_number": "919-550-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GATEWAY DR",
            "address_2": "SUITE 101",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202277",
            "telephone_number": "919-744-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LORA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "WILLIAMS",
            "middle_name": "WILKINSON",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.