Active NPI
Tracy Williams
- Clinical Social Worker
- Benton, AR
National Provider Identifier
1902201346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7321-C
- Practice address
- 110 Pearson
Benton, AR 72015 - Phone
- (501) 326-6727
- Fax
- (501) 778-0450
- NPI assigned
- Oct 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7321-M | AR | |
| Clinical Social Worker | 1041C0700X | 7321-C | AR | Primary |
Addresses
Primary practice location
110 Pearson
Benton, AR 72015
Mailing address
110 Pearson
Benton, AR 72015-4436
Phone (501) 326-6727
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7321-M | AR | MD | Social Worker |
| 7321-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Valley Counseling Center | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1902201346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PEARSON",
"city": "BENTON",
"state": "AR",
"postal_code": "720154436",
"telephone_number": "501-326-6727",
"fax_number": "501-778-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PEARSON",
"city": "BENTON",
"state": "AR",
"postal_code": "72015",
"telephone_number": "501-326-6727",
"fax_number": "501-778-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TRACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "7321-M",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "7321-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
- Keele Williams, RECOVERY ASSISTANT
- Lisa Dansby Williams, MS, LAC
- Patricia Williams, LMSW
- Rickey Williams, RECOVERY ASSISTANT
- Shawonda Williams
- Tuesday Williams, RECOVERY ASSISTANT
- Warren Williams, RECOVERY ASSISTANT
- Cory Williamson, RECOVERY ASSISTANT
- Dianna Williamson, RECOVERY ASSISTANT
- Jennifer Willingham, RECOVERY ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.