Active NPI
Kerry Williams, MSW
- School Social Worker
- Merrillville, IN
National Provider Identifier
1902277668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 6049 Broadway
Merrillville, IN 46410-2619 - Phone
- (219) 427-0193
- NPI assigned
- Oct 7, 2015
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
6049 Broadway
Merrillville, IN 46410-2619
Mailing address
4236 Ivy St
East Chicago, IN 46312-3025
Phone (219) 427-0193
Other names 1
- Mr. Kerry Williams
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1902277668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 IVY ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123025",
"telephone_number": "219-427-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6049 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464102619",
"telephone_number": "219-427-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KERRY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "WILLIAMS",
"prefix": "MR.",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.