Active NPI
Susan M Williams, LCSW
- Clinical Social Worker
- Sheboygan Falls, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8599-123
- Practice address
- 467 River Oaks Dr
Sheboygan Falls, WI 53085-1072 - Phone
- (414) 202-5013
- NPI assigned
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8599-123 | WI | Primary |
Addresses
Primary practice location
467 River Oaks Dr
Sheboygan Falls, WI 53085-1072
Mailing address
467 River Oaks Dr
Sheboygan Falls, WI 53085-1072
Phone (414) 202-5013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100175038 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11649 N Port Washington Rd
Suite 221
Mequon, WI 53092-3461
Phone (262) 999-3495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Adolescent Family Marriage Therapy Associates | Clinical | Current | Accepting new patients |
| Multi-Cultural Counseling Services II Inc. | Current | Accepting new patients | |
| Cornerstone Counseling Services, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420
11649 N Port Washington Rd
Ste 221
Mequon, WI 53092
Phone (262) 912-1922
1035 W Glen Oaks Ln
Ste 110
Mequon, WI 53092
Phone (262) 240-0299
11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191380
2500 W Layton Ave
Ste 110
Milwaukee, WI 53221
Phone (414) 281-0424
230 W Wells St
Ste 630
Milwaukee, WI 53203
Phone (414) 272-5005
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
Addiction (Substance Use Disorder)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1962575266
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1609997683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1982926903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 RIVER OAKS DR",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530851072",
"telephone_number": "414-202-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 RIVER OAKS DR",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530851072",
"telephone_number": "414-202-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8599-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100175038",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.