Individual provider Active NPI

Donna Renee Williams, MSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1083815682
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89444 Issued in CA
Practice address
7200 Bancroft Ave Ste 125a
Oakland, CA 94605-2457
Phone
(510) 777-3812
Fax
(510) 777-3806
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 89444 CA Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 125a
Oakland, CA 94605-2457

Mailing address

4821 Webster St. #2
Oakland, CA 94609
Phone (510) 467-7955

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XOtherCAMEDICARE

Other names 1

  • Donna Renee Ryan Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL donna.williams@acgov.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930000320 CA Practitioner - Clinical Social Worker 5991035230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89444CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County CurrentSince May 14, 2025 Accepting new patients
County of Alameda Past Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1083815682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 WEBSTER ST. #2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-467-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 125A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052457",
            "telephone_number": "510-777-3812",
            "fax_number": "510-777-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DONNA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1041C0700X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "donna.williams@acgov.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "7200 Bancroft Ave Ste 125A",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946052457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "RYAN",
            "middle_name": "RENEE",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.