Individual provider Active NPI

Mary Beth E Williams, PH.D., LCSW, CTS

  • Clinical Social Worker
  • Warrenton, VA
National Provider Identifier
1942399811
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000277 Issued in VA
Practice address
9 N 3Rd St
#14
Warrenton, VA 20186-3404
Phone
(540) 341-7339
Fax
(540) 341-7339
NPI assigned
Oct 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904000277 VA Primary
Marriage & Family Therapist 106H00000X 0904000277 VA

Addresses

Primary practice location

9 N 3Rd St
#14
Warrenton, VA 20186-3404

Mailing address

9 N 3Rd St
#14
Warrenton, VA 20186-3404
Phone (540) 341-7339

Other identifiers 1

IdentifierTypeStateIssuer
062644OtherVABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000183 VA Practitioner - Clinical Social Worker 1355417106 Practice locations: Warrenton, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 S 5TH St RM K
Warrenton, VA 20186-3368
Phone (540) 341-7339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0904000277VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942399811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 3RD ST",
            "address_2": "#14",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863404",
            "telephone_number": "540-341-7339",
            "fax_number": "540-341-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 3RD ST",
            "address_2": "#14",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863404",
            "telephone_number": "540-341-7339",
            "fax_number": "540-341-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARY BETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW, CTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000277",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0904000277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "062644",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.