Individual provider Active NPI

Tasha Williams, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1972103752
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19374 Issued in MD
Practice address
4709 Harford Rd Ste 80
Baltimore, MD 21214-3261
Phone
(443) 906-3884
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 19374 MD Primary

Addresses

Primary practice location

4709 Harford Rd Ste 80
Baltimore, MD 21214-3261

Mailing address

3025 Woodring Ave
Parkville, MD 21234-7828
Phone (443) 703-8582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20201215000985 MD Practitioner - Clinical Social Worker 7113339235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Restoration of WellnessGroup PAC ID 6305258427, 2 clinicians

Practice addresses (Care Compare)

4709 Harford Rd
Baltimore, MD 21214-3205
Phone (443) 906-3884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration of Wellness Clinical CurrentSince Dec 1, 2020 Accepting new patients

Locations

4709 Harford Rd
Ste 80
Baltimore, MD 21214
Phone (443) 253-3507

4709 Harford Rd
Baltimore, MD 21214
Phone (443) 735-5702

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1972103752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 WOODRING AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212347828",
            "telephone_number": "443-703-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 HARFORD RD STE 80",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "443-906-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TASHA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.