MR. JEFF WILLIAMS LCSW
NPI 1043698020
Social Worker - Clinical in Grand Forks, ND

Q: What is Jeff Williams's NPI number?

The NPI number for Jeff Williams is 1043698020. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Jeff Williams's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeff Williams was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment

1615 17TH AVE S, GRAND FORKS, ND 58201(701) 795-8550(701) 746-5523 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2026, Jul 16, 2024, Sep 6, 2018 (3 updates tracked since 2018).

On this page

About Mr. Jeff Williams Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFF WILLIAMS LCSW (NPI 1043698020) is an individual clinical provider in Grand Forks, North Dakota, licensed in North Dakota (5132) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Forks, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043698020

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JEFF WILLIAMSCredential: LCSW

Location Address1615 17TH AVE SGrand Forks, ND 58201-5372

Mailing Address1615 17th Ave SGrand Forks, ND 58201-5372 · (701) 795-8550 · Fax (701) 746-5523

Phone(701) 795-8550

Fax(701) 746-5523

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 11, 2015

Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1043698020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in ND · 5132✔ Licensed in MN · 18764

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1615 17TH AVE S, Grand Forks, ND 58201

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Secondary Practice Location 1

Location 13535 S 31st St Ste 201Grand Forks, ND 58201-3593 · Phone (701) 780-6821 · Fax (701) 780-1973

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeff Williams Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456788330

PECOS Enrollment IDI20200305002929

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.75 – $168.12

Typical copayment $0.00 (range $13.93 – $42.03)

Most-billed visit code NA

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHLAND CHRISTIAN COUNSELING CENTER INC

Clinic/Center (Mental Health (Including Community Mental Health Center))