Active NPI
Angela Williams
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1942743638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 4115
- Practice address
- 458 Herndon St
Shreveport, LA 71101-4859 - Phone
- (318) 429-6975
- Fax
- (318) 629-2870
- NPI assigned
- Nov 29, 2016
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 4115 | LA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
458 Herndon St
Shreveport, LA 71101-4859
Mailing address
6940 Casa Cove Dr
Shreveport, LA 71129
Phone (318) 655-2456
Other names 1
- Angela 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4115 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America of North Louisiana | Current | Accepting new patients |
Locations
458 Herndon St
Shreveport, LA 71101
Phone (318) 221-5565
856 Texas Ave
Shreveport, LA 71101
Phone (318) 429-6938
2920 Knight St
Bldg 1
Shreveport, LA 71105
Phone (318) 213-1871
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1417252230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1942743638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 CASA COVE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71129",
"telephone_number": "318-655-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 HERNDON ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014859",
"telephone_number": "318-429-6975",
"fax_number": "318-629-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "4115",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "WILLIAMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.