Timothy C. Williams, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1026019 Issued in MA

Practice address

185 Pilgrim Rd
Boston, MA 02215-5324

Phone

(617) 632-8865

Fax

(617) 632-8830

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942371612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026680523",
            "telephone_number": "617-632-8865",
            "fax_number": "617-632-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PILGRIM RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155324",
            "telephone_number": "617-632-8865",
            "fax_number": "617-632-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIMOTHY",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1026019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J Williams, M.D.
• Sarah Williams
• Shanita Williams
• Shauna Williams, CRNA
• Tajera Williams
• Toni K Williams, R.N.
• Trenyce Williams
• Vivian L. Williams, MSW
• Vivian Wilson Williams, MSN RN CPNP
• Winfred Woodrow Williams, MD

• All providers in Boston, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.