Rachel Mabuta Williams, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IC-1390 Issued in NV

Practice address

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165

Phone

(702) 474-6450

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Rachel Mabuta Avila Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1003473422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 RIVER STAR CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ALTA DR STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064165",
            "telephone_number": "702-474-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 McLeod Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215215",
            "country_code": "US",
            "telephone_number": "702-474-6450",
            "fax_number": "702-474-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RACHEL",
        "middle_name": "MABUTA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8201-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "AVILA",
            "middle_name": "MABUTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Prisilla Williams
• Quatece Nichol Williams
• Rachael Williams
• Rachael Williams
• Rachel K. Williams
• Rachel Marie Williams
• Rashida Williams
• Rayshawn Williams
• Reginald Williams Jr.
• Reina Williams

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.