Shanese N Williams, LCSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Washington, District Of Columbia. Her current practice location is
2918 Minnesota Ave Se, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at
(202) 839-5310.
Shanese N Williams is licensed to practice in District Of Columbia (license number LC20000206) 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 1568179398.
Healthcare Provider's Profile
Full Name | Shanese N Williams |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2918 Minnesota Ave Se, Washington, District Of Columbia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568179398
- Provider Enumeration Date: 11/01/2022
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284005026
- Enrollment ID: I20230113001882
Medical Identifiers
Medical identifiers for Shanese N Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568179398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC20000206 (District Of Columbia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904014497 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | LC20000206 (District Of Columbia) | 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. Shanese N Williams allows following entities to bill medicare on her behalf.
Entity Name | Director Of Finance-county Of Fairfax Va |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688 |
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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. Shanese N Williams 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 |
Shanese N Williams, LCSW, LICSW 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: (571) 495-9386 | Shanese N Williams, LCSW, LICSW 2918 Minnesota Ave Se, Washington, DC 20019-1127 Ph: (202) 839-5310 |
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