Active NPI
Lisa Williams, LMSW
- Social Worker
- Hattiesburg, MS
National Provider Identifier
1952005365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M9414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M9414 | MS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Behavioral Medicine Associates PLLC | Current | 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.
-
- Health Psychologist
- Hattiesburg, MS
- NPI 1487950564
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.