Individual provider Active NPI

Rosalyn M Williams

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1962839720
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC303206 Issued in DC
Practice address
3264 Stanton Rd SE
Washington, DC 20020-2910
Phone
(202) 645-3470
NPI assigned
Oct 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC303206 DC Primary

Addresses

Primary practice location

3264 Stanton Rd SE
Washington, DC 20020-2910

Mailing address

3264 Stanton Rd SE
Washington, DC 20020-2910
Phone (202) 645-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240219001773 DC Practitioner - Clinical Social Worker 8325482268 Reassigns benefits to 2 organizations
I20251201000033 MD Practitioner - Clinical Social Worker 8325482268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umbrella Therapeutic Services, Inc.Group PAC ID 2163787839, 6 clinicians
Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Practice addresses (Care Compare)

3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Phone (202) 878-6626

4409 E W Hwy
Riverdale, MD 20737-1058
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13791MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Maryland LLC CurrentSince Nov 1, 2025 Accepting new patients
Umbrella Therapeutic Services, Inc. CurrentSince Feb 6, 2024 Accepting new patients

Locations

3300 Pennsylvania Ave SE
Washington, DC 20020
Phone (202) 583-1194

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1962839720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 STANTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202910",
            "telephone_number": "202-645-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 STANTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202910",
            "telephone_number": "202-645-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROSALYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.