Individual provider Active NPI

Tresselar Y. Williams-Lee, LCSW

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1982976130
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7547 Issued in LA
Practice address
3939 Linwood Ave
Shreveport, LA 71108
Phone
(318) 868-3093
Fax
(318) 868-3094
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 7547 LA Primary

Addresses

Primary practice location

3939 Linwood Ave
Shreveport, LA 71108

Mailing address

3939 Linwood Ave
Shreveport, LA 71108-2415
Phone (318) 868-3093

Other practice location 1

5428 Lakeside Cir
Shreveport, LA 71119-6529
Phone (318) 510-8579

Other identifiers 2

IdentifierTypeStateIssuer
2304852MedicaidLA
7547OtherLASTATE BOARD LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7547LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Talk Counseling and Therapy LLC CurrentSince Jul 9, 2023 Accepting new patients

Locations

3939 Linwood Ave
Shreveport, LA 71108
Phone (318) 868-3093

2520 Crestwood Dr
Shreveport, LA 71118
Phone (318) 868-3093

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": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1982976130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082415",
            "telephone_number": "318-868-3093",
            "fax_number": "318-868-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71108",
            "telephone_number": "318-868-3093",
            "fax_number": "318-868-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5428 Lakeside Cir",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711196529",
            "country_code": "US",
            "telephone_number": "318-510-8579",
            "fax_number": "318-868-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-LEE",
        "first_name": "TRESSELAR",
        "middle_name": "Y.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-04-22",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304852",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE",
            "identifier": "7547",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.