Leslie Williams, LCSW, CCTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2335 Matthews Township Pkwy
Ste 101
Matthews, NC 28105-2403

Phone

(866) 434-3255

NPI assigned

Apr 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leslie.williams@lwilliamstrauma-assessme.direct.kno2fy.com
• Direct secure messaging: records@trauma-assessment-treatm.direct.kno2fy.com
• Direct secure messaging: leslie.williams.3@14940.direct.athenahealth.com

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.

• Ourhealth Physicians Group, LLC

  • Clinic/Center
  • Matthews, NC
  • NPI 1871138644
  NPD
• Ourhealth Physicians Group, LLC

  • Primary Care Clinic/Center
  • Charlotte, NC
  • NPI 1912363177
  NPD (past)

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1962728352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST",
            "address_2": "STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042954",
            "telephone_number": "866-434-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 MATTHEWS TOWNSHIP PKWY",
            "address_2": "STE 101",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052403",
            "telephone_number": "866-434-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1914 J N Pease Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624504",
            "country_code": "US",
            "telephone_number": "704-921-9943",
            "fax_number": "704-665-1959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 Albemarle Rd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282272603",
            "country_code": "US",
            "telephone_number": "866-434-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LESLIE",
        "credential": "LCSW, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007269",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006756",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "13604553",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007532",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY",
            "identifier": "928979",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC - OPTUM",
            "identifier": "000816420001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NORTH CAROLINA",
            "identifier": "17431",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5092840",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Records@Trauma-Assessment-Treatm.direct.kno2fy.com",
            "affiliation": "N",
            "endpointDescription": "Laptops",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1914 J N Pease Pl Ste 150",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282624504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Records@Trauma-Assessment-Treatm.direct.kno2fy.com",
            "affiliation": "Y",
            "endpointDescription": "Laptops",
            "affiliationName": "Trauma Assessment & Treatment Center, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1914 J N Pease Pl Ste 150",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282624504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Enas Shakkour Wilker, RD
• Shawn Willard, LPCA, NCC, LCASA
• Bryan Joseph Williams, D.P.M.
• Chelsea Marie Williams, PA-C
• Hillary Michelle Williams
• Lydia Mary Williams, OTR/L
• Maris Autumn Williams, LCMHC
• Megan Williams
• Monica Catrice Williams, LCSWA
• Venecia Williams, HAIR LOSS SPECIALIST

• Clinical Social Worker in Matthews, NC
• Providers in Matthews, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.