Look up the most recent NPI and PECOS records

Danielle Williams-Omoruyi

Social Worker

Behavioral Health & Social Service Providers

1030 Jefferson Ave, Memphis, TN 38104-2127

PECOS Enrollment

Based on the most recent information from CMS, provider Danielle Williams-Omoruyi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1114557808
Provider Type
Individual
Full Name
Williams-Omoruyi, Danielle
Gender
Female

Sole Proprietor
Yes
Enumeration Date
1/22/2020
Last Updated
1/16/2025

Contact Information

Practice Location

1030 Jefferson Ave, Memphis, TN 38104-2127

(901) 523-8990

Unlisted Fax

Mailing Location

3933 Rasco Hills Dr, Southaven, MS 38671-6403

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6818 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 3435	Description Other	Issuer HAVE NOT RECEIVED MEDICAID NUMBER AS OF YET

Danielle Williams-Omoruyi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Hughey, Lillie Irene

Jones, Serena Darcell

Johnson, Martine Patrice

Powell, Erica

Massey, Ethel Jean

Alvarez, Julie Marie Gibson

Tharpe, Robert

Henderson, Rachael

Nelson, Eleanor Crenshaw

Harlee-Williams, Cynthia L