Imani Ariel Williams-ephriam, MSW LCSW QS is a medicare enrolled "Social Worker - Clinical" provider in Fort Lauderdale, Florida. Her current practice location is
1816 E Oakland Park Blvd Apt 61, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 560-4279.
Imani Ariel Williams-ephriam is licensed to practice in Florida (license number SW17488) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669927653.
Healthcare Provider's Profile
| Full Name | Imani Ariel Williams-ephriam |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1816 E Oakland Park Blvd Apt 61, Fort Lauderdale, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669927653
- Provider Enumeration Date: 08/18/2016
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143603803
- Enrollment ID: I20220813000820
Medical Identifiers
Medical identifiers for Imani Ariel Williams-ephriam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669927653 | NPI | - | NPPES |
| 1669927653 | Other | | PERSONAL NPI |
| 1619584307 | Other | | PRIVATE PRACTICE NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW17488 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW17488 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Imani Ariel Williams-ephriam allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Imani Ariel Williams-ephriam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Imani Ariel Williams-ephriam, MSW LCSW QS
1314 E Las Olas Blvd # 1590,
Fort Lauderdale, FL 33301-2334
Ph: (545) 604-2799 | Imani Ariel Williams-ephriam, MSW LCSW QS
1816 E Oakland Park Blvd Apt 61,
Fort Lauderdale, FL 33306-1118
Ph: (954) 560-4279 |
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