Organization Active NPI

Joe Williams LCSW, PLLC

  • Clinical Social Worker
  • Mount Vernon, NY
National Provider Identifier
1942010830
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOE WILLIAMS LCSW, PLLC
Practice address
210 S 3Rd Ave Apt 3a
Mount Vernon, NY 10550-3914
Phone
(718) 749-2596
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Joseph Devaughn Williams, LCSWNPI 1598356685
Title
Ceo
Phone
(718) 749-2596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

210 S 3Rd Ave Apt 3a
Mount Vernon, NY 10550-3914

Mailing address

210 S 3Rd Ave Apt 3a
Mount Vernon, NY 10550-3914
Phone (718) 749-2596

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1942010830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 3RD AVE APT 3A",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503914",
            "telephone_number": "718-749-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 3RD AVE APT 3A",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503914",
            "telephone_number": "718-749-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE WILLIAMS LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DEVAUGHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-749-2596",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.