Tiffany Marie Nicely-williams, LCSW in Austin, TX - Medicare Social Worker Provider

Tiffany Marie Nicely-williams, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Austin, Texas. Her current practice location is 508 Deep Eddy Ave, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 709-0699.

Tiffany Marie Nicely-williams is licensed to practice in Texas (license number 65013) 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 1487220398.

Contact Information

	Tiffany Marie Nicely-williams, LCSW
	508 Deep Eddy Ave, Austin, TX 78703-4555
	(512) 709-0699
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Marie Nicely-williams
Gender	Female
Speciality	Social Worker - Clinical
Location	508 Deep Eddy Ave, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487220398
Provider Enumeration Date: 06/01/2021
Last Update Date: 06/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6507207412
Enrollment ID: I20240509001907

Medical Identifiers

Medical identifiers for Tiffany Marie Nicely-williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487220398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	65013 (Texas)	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. Tiffany Marie Nicely-williams allows following entities to bill medicare on her behalf.

Entity Name	Deep Eddy Psychotherapy Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745

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. Tiffany Marie Nicely-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
Tiffany Marie Nicely-williams, LCSW 508 Deep Eddy Ave, Austin, TX 78703-4555 Ph: () -	Tiffany Marie Nicely-williams, LCSW 508 Deep Eddy Ave, Austin, TX 78703-4555 Ph: (512) 709-0699

Reviews and Comments

Social Worker in Austin, TX

Joanne Frances Carrubba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1433 Fairfield Dr, Austin, TX 78758 Phone: 512-491-8444 Fax: 512-491-0226
Ms. Karen R. Dorrier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 56 East Ave, Austin, TX 78701 Phone: 512-703-1396 Fax: 512-703-1390
Jennifer Rae Wilhelm, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Bull Creek Rd, Austin, TX 78757 Phone: 646-284-2210
Adrienne Elizabeth Robison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 S Ih 35 Ste 100, Austin, TX 78704 Phone: 469-867-5817
Sabrina Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 W William Cannon Dr Ste 6a, Austin, TX 78745 Phone: 512-344-9181
Monica Lenker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8500 N Mopac Expy, Suite 402, Austin, TX 78759 Phone: 512-299-4024 Fax: 512-215-9756
Denise Lynn Cleveland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9219 Rock Way Dr # 2, Austin, TX 78736 Phone: 512-576-2009

Tiffany Marie Nicely-williams, LCSW - Medicare Clinical Social Worker in Austin, TX