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NIESHA MARIE WILLIAMS
NPI 1629949433
Social Worker - Clinical in Pueblo, CO

Active since September 15, 2025PECOS Enrolled
1401 FORTINO BLVD STE B, PUEBLO, CO 81008(719) 717-5785 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niesha Marie Williams NPPES

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

NIESHA MARIE WILLIAMS (NPI 1629949433) is an individual clinical provider in Pueblo, Colorado, licensed in Colorado (09932280) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629949433
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNIESHA MARIE WILLIAMS
Location Address1401 FORTINO BLVD STE BPueblo, CO 81008-2034
Mailing Address769 S Mccoy DrPueblo West, CO 81007-1780 · (719) 717-5785
Phone(719) 717-5785
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1629949433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · 09932280
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.
1401 FORTINO BLVD STE B, Pueblo, CO 81008
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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 (PECOS)

Niesha Marie Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537637541
PECOS Enrollment IDI20260507004160
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 Niesha Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willow Tree Counseling
2.3 mi
Clinical
1612 BONFORTE BLVD
Pueblo, CO 81001
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1053914788 (719) 696-8426

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 2

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

AT PSYCHIATRY, PLLC
Psychiatry & Neurology (Psychiatry)
1401 FORTINO BLVD STE B
PUEBLO, CO 81008
Pueblo County (719) 377-3993
PUEBLO MASSAGE THERAPY LLC
Massage Therapist
1401 FORTINO BLVD STE B
PUEBLO, CO 81008
Pueblo County (719) 582-9446

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 Niesha Williams's NPI number?

The NPI number for Niesha Williams is 1629949433. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Niesha Williams located?

Niesha Williams practices at 1401 Fortino Blvd Ste B, Pueblo, CO 81008. The listed phone number is (719) 717-5785.

What is Niesha Williams's specialty?

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

Is Niesha Williams enrolled in Medicare?

Yes. Niesha Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Niesha Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niesha Williams reassigns Medicare benefits to Willow Tree Counseling (Pueblo, CO). 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 Niesha Williams'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 Niesha Williams was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.