Individual provider Active NPI

Linda Williams, LCSW, LCDC

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1982143905
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68148 Issued in TX
Practice address
2417 Hobbs Rd Ste 105
Amarillo, TX 79109-1533
Phone
(806) 231-6180
Fax
(806) 318-3046
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10937 TX
Clinical Social Worker 1041C0700X 68148 TX Primary

Addresses

Primary practice location

2417 Hobbs Rd Ste 105
Amarillo, TX 79109-1533

Mailing address

1408 Heidi LN
Amarillo, TX 79108-1815
Phone (806) 231-6180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230705001112 TX Practitioner - Clinical Social Worker 4284093568 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3716 Olsen Blvd
Suite 1
Amarillo, TX 79109-3022

5931 Glenoak LN
Suite B
Amarillo, TX 79109-6831
Phone (806) 231-6180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mangold Enterprise Clinical CurrentSince Feb 8, 2023 Accepting new patients

Locations

2417 Hobbs Rd
Ste 105
Amarillo, TX 79109
Phone (806) 471-0334

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1982143905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 HEIDI LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791081815",
            "telephone_number": "806-231-6180",
            "fax_number": "806-318-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 HOBBS RD STE 105",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091533",
            "telephone_number": "806-231-6180",
            "fax_number": "806-318-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LINDA",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10937",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.