MRS. TYWANDA LATRESE WILLIAMS (LCSW) – Clinical Social Worker, NPI 1194960302
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,374 CLINICAL SOCIAL WORKER in FL
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Provider Addresses for MRS. TYWANDA LATRESE WILLIAMS (LCSW)
4th Avenue Circle East, Bradenton, Manatee County, Florida, 34208, United States
BRADENTON, FL 342085621
Phone: (941) 782-4618
Fax: (941) 782-4642
Type: Location
Bradenton Post Office, 824, Manatee Avenue West, Bradenton, Manatee County, Florida, 34205, United States
BRADENTON, FL 342069478
Phone: (941) 782-4299
Fax: (941) 782-4301
Type: Mailing
269 GERMANTOWN BEND CV STE 202
CORDOVA, TN 380187292
Phone: (901) 747-8158
Fax: (901) 410-3136
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211115001038 | I | Clinical Social Worker | TN | TBD |
| I20221018001533 | I | Clinical Social Worker | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | TN | |
| - | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Certified Nurse Midwife (Cnm) | KS | |
| - | KS | |
| Family Practice, Emergency Medicine | KS |
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