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MICAH BURRIS WILLIFORD LMSW
NPI 1104432798
Social Worker in Chester, SC

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
524 DOCTORS CT, CHESTER, SC 29706(803) 581-8311(803) 385-2440 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Micah Burris Williford Lmsw NPPES

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

MICAH BURRIS WILLIFORD LMSW (NPI 1104432798) is an individual social worker in Chester, South Carolina, licensed in South Carolina (12737) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104432798
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMICAH BURRIS WILLIFORDCredential: LMSW
Location Address524 DOCTORS CTChester, SC 29706-8644
Mailing Address524 Doctors CtChester, SC 29706-8644
Phone(803) 581-8311
Fax(803) 385-2440
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1104432798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in SC · 12737
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
524 DOCTORS CT, Chester, SC 29706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Micah Burris Williford Lmsw 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 ID9234597105
PECOS Enrollment IDI20230626000586
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.

Medicare Billing Reassignment

Medicare enrollment records show Micah Williford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
20 mi
Nurse Practitioner
205 PIEDMONT BLVD STE 100
Rock Hill, SC 29732
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1558983254 (803) 327-2012

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

COMMUNITY MEDICINE FOUNDATION
Clinic/Center (Community Health)
524 DOCTORS CT
CHESTER, SC 29706
Chester County (803) 325-7744
ALACIA CEONDRA PICKETT RN
Registered Nurse (General Practice)
524 DOCTORS CT
CHESTER, SC 29706
Chester County (803) 581-8311
SHANITA BURGESS
Counselor (Mental Health)
524 DOCTORS CT
CHESTER, SC 29706
Chester County (803) 328-9600
ADRIENNE P HARRIS
Counselor (Mental Health)
524 DOCTORS CT
CHESTER, SC 29706
Chester County (803) 581-8311
DAVID ROSEBORO RN
Registered Nurse (Psychiatric/Mental Health, Adult)
524 DOCTORS CT
CHESTER, SC 29706
Chester County (803) 581-8311
TAKENYA TECADRIAN HUNTER MA, QMHP
Counselor (Mental Health)
524 DOCTORS CT
CHESTER, SC 29706
Chester County (803) 581-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Williford's NPI number?

The NPI number for Micah Williford is 1104432798. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Micah Williford located?

Micah Williford practices at 524 Doctors Ct, Chester, SC 29706. The listed phone number is (803) 581-8311.

What is Micah Williford's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Micah Williford enrolled in Medicare?

Yes. Micah Williford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Micah Williford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Williford reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Rock Hill, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micah Williford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Micah Williford was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.