MR. DERRICK MARTIN WILLIAMS (NPI# 1457774606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457774606 |
| Entity Type | Individual |
| Full Name | MR. DERRICK MARTIN WILLIAMS |
| Credential | LMSW |
| Practice Address |
102 Pilling St Brooklyn NY 11207-1610 |
| Practice Telephone | 7186021000 |
| Practice Fax Number | 7186021111 |
| Mailing Telephone | 7186021000 |
| Mailing Fax Number | 7186021111 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
087863-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 087863-1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053548339 | Derrick V Williams | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # J4-3331, Anes: Anesthesiology, Cleveland, OH 44195-0001 | 2009-06-15 |
| 1881293892 | Derrick Williams | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-10-21 |
| 1306302682 | Derrick Williams | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-02-12 |
| 1285178889 | Derrick Williams | Community Health Worker | 7733 Forsyth Blvd Fl 11, Clayton, MO 63105-1878 | 2016-12-15 |
| 1144771262 | Derrick Williams | Counselor | 1602 Royal Ave, Monroe, LA 71201-5612 | 2016-10-24 |
| 1942574207 | Derrick Williams | Social Worker | 2302 Parklake Dr Ne, Suite 350, Atlanta, GA 30345-2896 | 2012-03-05 |
| 1780966408 | Derrick H Williams | Family Medicine | 305 Estill St, 4th Floor, Berea, KY 40403-1742 | 2011-09-20 |
| 1366724619 | Derrick Williams | Rehabilitation Practitioner | 3840 N Commerce St, Ste. 200, North Las Vegas, NV 89032-8104 | 2011-09-13 |
| 1922333194 | Derrick Lane Williams | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2009-10-06 |
| 1518290873 | Derrick Demetrius Williams Sr. | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2009-09-17 |
| Street Address |
102 PILLING ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255570446 | Anne C O'halloran | Social Worker | 102 Pilling St, Brooklyn, NY 11207-1610 | 2009-02-11 |
| 1518573591 | Jahqueena Maria Bunting | Social Worker | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-09-16 |
| 1871108654 | Marissa Anne Coble | Social Worker | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-09-09 |
| 1689286304 | Jennifer Mary Del Regno - Lief | Marriage & Family Therapist | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-08-24 |
| 1063022614 | Giuseppa Lacorte | Social Worker | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-08-07 |
| 1073123451 | Julianne Thompson | Art Therapist | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-07-31 |
| 1164030474 | Christina J Malatesta | Counselor | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-07-22 |
| 1194343806 | Ashley Nicole Breton | Art Therapist | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-07-09 |
| 1578181475 | Eleana I Crespo | Counselor | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-07-08 |
| 1255958641 | Carolina M Morales Rodriguez | Student in an Organized Health Care Education/Training Program | 102 Pilling St, Brooklyn, NY 11207-1610 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
| 1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
| 1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
| 1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
| 1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
| 1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
| Find all providers in zip 11207 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1164021705 | Valesta Judy Lynch | Counselor | 1660 E New York Ave Unit 211, Brooklyn, NY 11212-8016 | 2020-10-24 |
| 1184231649 | Yehoshua Yehuda Tabi | Counselor | 1975 52nd St, Brooklyn, NY 11204-1726 | 2020-09-29 |
| 1023625977 | Caitlin Armstrong | Counselor | 57 7th Ave, Brooklyn, NY 11217-1462 | 2020-09-24 |
| 1073129805 | Madison Liddle | Counselor | 371 Humboldt St Apt 208, Brooklyn, NY 11211-2988 | 2020-09-17 |
| 1235744509 | Elizabeth Daiello | Counselor | 208 Bay 44th St, Brooklyn, NY 11214-6742 | 2020-09-13 |
| 1811502503 | Melanie Nicole Cooke | Counselor | 629 Sterling Pl Apt 3r, Brooklyn, NY 11238-4820 | 2020-09-10 |
| 1376158139 | Gail Herskowitz | Counselor | 1170 Ocean Pkwy Apt 10g, Brooklyn, NY 11230-4044 | 2020-09-09 |
| 1154932671 | Anicka Hamilton | Counselor | 208 Washington Park, Brooklyn, NY 11205-4057 | 2020-08-10 |
| 1083224018 | Sophie Angelique Desnoyers | Counselor | 2 Saint Nicholas Ave # 3120, Brooklyn, NY 11237-2337 | 2020-08-04 |
| Find all providers in BROOKLYN | ||||
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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.