Individual provider Active NPI

Devin Ariel Williams, LCSW

  • Clinical Social Worker
  • Hattiesburg, MS
National Provider Identifier
1982214458
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C9100 Issued in MS
Practice address
602 Adeline St Ste D4
Hattiesburg, MS 39401-3802
Phone
(601) 633-9146
NPI assigned
Aug 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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 C9100 MS Primary

Addresses

Primary practice location

602 Adeline St Ste D4
Hattiesburg, MS 39401-3802

Mailing address

36 Hickory KNL
Hattiesburg, MS 39402-6201
Phone (601) 968-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C9100MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Therapy and Solutions, PLLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

602 Adeline St
Ste D4
Hattiesburg, MS 39401
Phone (601) 633-9146

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": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1982214458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HICKORY KNL",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026201",
            "telephone_number": "601-968-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ADELINE ST STE D4",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013802",
            "telephone_number": "601-633-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEVIN",
        "middle_name": "ARIEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.