Deirdre Shannon Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084127 Issued in NY

Practice address

9201 4TH Ave
Brooklyn, NY 11209-7065

Phone

(718) 238-6444

NPI assigned

Jul 11, 2014

Last updated

May 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Harmony Place LLCGroup PAC ID 9638693195, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Harmony Place LLC

  dba Positive Reset Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, NJ
  • NPI 1326875774
  Medicare reassignment Care Compare group
• Jewish Board for Family and Children Services

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1366685430
  NPD (past)

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1952717845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-238-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-238-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEIRDRE",
        "middle_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089734-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Williams
• Dayna Marie Williams, M.D
• Daziah Williams
• Deasia Williams
• Deborah Williams, M.D.
• Denise E. Williams, D.D.S
• Derrick Martin Williams, LMSW
• Dolores V. Williams, BSPT
• Donnette Alexia Williams, OTR/L
• Dorett Williams, RN

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.