Clinton McCray Williams, LCMHCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4547 Issued in NC

Practice address

100 Elm St
Weldon, NC 27890-1934

Phone

(522) 537-4005

Fax

(252) 537-0329

NPI assigned

Feb 1, 2007

Last updated

May 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• CW Counseling Services Inc.

  • Community/Behavioral Health Agency
  • Weldon, NC
  • NPI 1285805622
  NPD Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1881732220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX M",
            "city": "GARYSBURG",
            "state": "NC",
            "postal_code": "278310330",
            "telephone_number": "252-532-6570",
            "fax_number": "252-537-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELM ST",
            "city": "WELDON",
            "state": "NC",
            "postal_code": "278901934",
            "telephone_number": "522-537-4005",
            "fax_number": "252-537-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLINTON",
        "middle_name": "MCCRAY",
        "name_prefix": "Mr.",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4547",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra D Storey, PA-C
• Uplift Comprehensive Services
• Weldon City Schools
• Well Kept Adult Daycare Center
• Wescare Professional Services, LLC.

• Mental Health Counselor in Weldon, NC
• Providers in Weldon, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.