Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003361015 Individual Practitioner Female Practitioner

Katelyn Ann Williams , MA, CCC-SLP

Speech-Language Pathologist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Katelyn Williams, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Providence, RI. Practice services are available at 520 HOPE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 Hope St

Providence, RI 029062532

Telephone 4013833156

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
166 Specialists

Practicing in Providence, RI (650 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ma Speech Language Pathology
76374 (MA)

Secondary Practice Locations

25 Willow St

West Roxbury, MA 021321537

Phone: 6174693080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023439007

Master of Science, LMHCA

NPI 1023498433

Licensed Clinical Social Worker

Patricia Donahue-Kennedy , LICSW

Social Worker - Clinical

NPI 1033288196

Licensed Independent Clinical Social Worker

Adam Purcell , LCSW

Social Worker

NPI 1033347372

Licensed Clinical Social Worker

Toni Fellela

Counselor

NPI 1043710841
NPI 1043797137

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 520 HOPE ST, PROVIDENCE, RI 029062532 (Tel: 4013833156)

📍
Updated Business Mailing Address March 17, 2018

Registered at 12 BENEFIT ST, PROVIDENCE, RI 029042729 (Tel: 3199296507)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as KATELYN WILLIAMS, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Counselor

📍
Updated Practice Location February 14, 2018

Registered at 520 HOPE ST, PROVIDENCE, RI 029062532 (Tel: 4013833156)

📍
Updated Business Mailing Address February 14, 2018

Registered at 12 BENEFIT ST, PROVIDENCE, RI 029042729 (Tel: 3199296507)

👤
Provider Name / Credentials Updated February 14, 2018

Recorded as KATELYN WILLIAMS, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2018

Speech-Language Pathologist

NPI Profile Active August 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2016

Registered at 25 WILLOW ST, WEST ROXBURY, MA 021321537 (Tel: 6174693080)

📍
Updated Business Mailing Address August 19, 2016

Registered at 1220 ADAMS ST APT G11, DORCHESTER, MA 021245781 (Tel: 3199296507)

👤
Provider Name / Credentials Updated August 19, 2016

Recorded as KATELYN WILLIAMS, M.A., CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003361015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2016
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

12 Benefit St

Providence, RI 029042729

Phone: 3199296507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.