JEFFREY WILLIAMS – Clinical Social Worker, NPI 1417330390

JEFFREY WILLIAMS is a healthcare provider. based in Fredericksburg, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 0904009072 (VA). The NPI Number for JEFFREY WILLIAMS is 1417330390

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY WILLIAMS
NPI
1417330390
Phone
(540) 373-3223
Address
600 JACKSON ST
Enumeration Date
9 July 2015
Last Update Date
9 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5715051744
Graduation Year
1997 (29 years ago)
PAC ID
4486960200
Group Practice PAC ID
3072986439
Professional Enrollment ID
I20150825003070
Address ID
VA224855351KI6131XPKWY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for JEFFREY WILLIAMS

  • 600 JACKSON ST

    FREDERICKSBURG, VA 224015719

    Phone: (540) 373-3223

    Mailing address matches the actual address.

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: 2015-08-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150825003070IClinical Social WorkerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 22401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072986439View full group profile
NameSpecialtyState
Mental Health CounselorVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What identifier follows JEFFREY WILLIAMS across health systems?
The NPI 1417330390 uniquely identifies JEFFREY WILLIAMS in U.S. healthcare data.
Is JEFFREY WILLIAMS currently accepting referrals based on NPI status?
Registry metadata lists JEFFREY WILLIAMS as active.
What does the directory say JEFFREY WILLIAMS does?
Insurance directories may phrase it differently, but here JEFFREY WILLIAMS maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to JEFFREY WILLIAMS?
JEFFREY WILLIAMS shows a connection to Fredericksburg, Virginia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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