Shorovia Antoinette Williams, MSW, LCSW, LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Winston Salem, North Carolina. Her current practice location is
1001 Reynolda Rd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 721-7600.
Shorovia Antoinette Williams is licensed to practice in North Carolina (license number CO11393) 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 1821344284.
Healthcare Provider's Profile
Full Name | Shorovia Antoinette Williams |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1001 Reynolda Rd, Winston Salem, North Carolina |
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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: 1821344284
- Provider Enumeration Date: 08/02/2012
- Last Update Date: 07/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143635805
- Enrollment ID: I20210211000229
Medical Identifiers
Medical identifiers for Shorovia Antoinette Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821344284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 21212 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P009930 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | CO11393 (North Carolina) | 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. Shorovia Antoinette Williams allows following entities to bill medicare on her behalf.
Entity Name | Thrive Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316651490 PECOS PAC ID: 0547704579 Enrollment ID: O20240702001291 |
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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. Shorovia Antoinette 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 |
Shorovia Antoinette Williams, MSW, LCSW, LCAS-A 1001 Reynolda Rd, Winston Salem, NC 27104-3245 Ph: (336) 721-7600 | Shorovia Antoinette Williams, MSW, LCSW, LCAS-A 1001 Reynolda Rd, Winston Salem, NC 27104-3245 Ph: (336) 721-7600 |
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