MR. THOMAS EUGENE WILLIAMS (MSW LICSW) – Clinical Social Worker, NPI 1255431003
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. THOMAS EUGENE WILLIAMS (MSW LICSW)
111 LAKEWOOD DR NW
BEMIDJI, MN 566018288
Phone: (218) 444-3421
Type: Mailing
722, 15th Street Northwest, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 56601
Phone: (218) 751-3280
Type: Location
1880 CHRISTY DR
CARVER, MN 553154592
Phone: (592) 705-6895
Type: Mailing
7400 METRO BLVD STE 211
EDINA, MN 554392321
Phone: (952) 835-1616
Fax: (833) 895-1211
Type: Location
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: 2005-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050517000248 | I | Clinical Social Worker | MN | 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 56601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV |
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