DOMONIQUE WILLIAMS MSSA
NPI 1174091789
Social Worker - Clinical in Cleveland, OH

Q: What is Domonique Williams's NPI number?

The NPI number for Domonique Williams is 1174091789. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Q: What is Domonique Williams's specialty?

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

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment

3569 RIDGE RD, CLEVELAND, OH 44102(216) 281-0872 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, Mar 10, 2020, Nov 13, 2018 (3 updates tracked since 2018).

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About Domonique Williams Mssa NPPES

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

DOMONIQUE WILLIAMS MSSA (NPI 1174091789) is an individual clinical provider in Cleveland, Ohio, licensed in Ohio (I.2203815) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174091789

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDOMONIQUE WILLIAMSCredential: MSSA

Location Address3569 RIDGE RDCleveland, OH 44102-5443

Mailing Address336 W Wood StLowellville, OH 44436-1040 · (330) 423-9002

Phone(216) 281-0872

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 13, 2018

Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration

NPPES CertifiedNovember 2, 2023

✔ NPI 1174091789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I.2203815

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.

Also ListedSocial WorkerTaxonomy 104100000X · License S.1802424 (OH)

3569 RIDGE RD, Cleveland, OH 44102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Domonique Williams Mssa 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 ID7911351036

PECOS Enrollment IDI20230922003346

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 44102 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

DR. ALESANDRA SAKACS PHARMD

Pharmacist