ROOSEVELT V WILLIAMS (NPI# 1003323080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003323080 |
| Entity Type | Individual |
| Full Name | ROOSEVELT V WILLIAMS |
| Credential | CDCA |
| Practice Address |
3222 W Central Ave Toledo OH 43606-2929 |
| Practice Telephone | 5673167253 |
| Mailing Telephone | 5673167253 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CDCA.160191 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| 1083138895 | Roosevelt Williams Jr. | Counselor | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2017-08-02 |
| Street Address |
3222 W CENTRAL AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841706694 | Deborah Bell | Social Worker | 3222 W Central Ave, Toledo, OH 43606-2929 | 2017-12-15 |
| 1750873899 | Danielle Marie King | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-06-05 |
| 1740772805 | Michael Flunder | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-06-05 |
| 1740772938 | James Ford | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-06-04 |
| 1376035568 | Unique Stone | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-06-04 |
| 1093207672 | Victoria Sandoval | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-05-31 |
| 1144711185 | Ryan Parsons | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-05-25 |
| 1306337688 | Brandy L Kaufman | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-05-23 |
| 1497246680 | Jennifer Miracola | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-05-23 |
| 1134626419 | Brian K Hunt | Case Manager/Care Coordinator | 3222 W Central Ave, Toledo, OH 43606-2929 | 2018-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
| 1881209104 | Jessica Rentner | Case Manager/Care Coordinator | 2440 South Ave, Toledo, OH 43609-1611 | 2020-09-14 |
| 1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
| 1508484957 | Lucynthia Dawn Jones | Case Manager/Care Coordinator | 2910 W Central Ave, Toledo, OH 43606-7702 | 2020-07-13 |
| 1952927790 | Jarmara Anderson | Case Manager/Care Coordinator | 420 Madison Ave Ste 550, Toledo, OH 43604-1272 | 2020-06-17 |
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1659910784 | Mariah Marcedes Garcia Liggins | Case Manager/Care Coordinator | 500 Madison Ave Ste 500, Toledo, OH 43604-1210 | 2020-01-06 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1134764434 | Pamela Dianna Welch | Case Manager/Care Coordinator | 2928 Algonquin Pkwy Lowr, Toledo, OH 43606-3747 | 2019-11-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.