Individual provider Active NPI

Lisa Williams, LMSW

  • Social Worker
  • Hattiesburg, MS
National Provider Identifier
1952005365
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M9414 Issued in MS
Practice address
1 Commerce Dr Ste 106
Hattiesburg, MS 39402-1499
Phone
(601) 255-1618
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M9414 MS Primary

Addresses

Primary practice location

1 Commerce Dr Ste 106
Hattiesburg, MS 39402-1499

Mailing address

1 Commerce Dr Ste 106
Hattiesburg, MS 39402-1499
Phone (601) 255-1618

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

LicenseStateTypeSpecialty
M9414MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Behavioral Medicine Associates PLLC CurrentSince Apr 6, 2023 Accepting new patients

Locations

1 Commerce Dr
Ste 106
Hattiesburg, MS 39402
Phone (601) 255-1618

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1952005365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMERCE DR STE 106",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021499",
            "telephone_number": "601-255-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMERCE DR STE 106",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021499",
            "telephone_number": "601-255-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M9414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.