Individual provider Active NPI

Jamie Ashley Williams, LCSW

  • Clinical Social Worker
  • Walnut Creek, CA
National Provider Identifier
1245879725
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92020 Issued in CA
Practice address
710 S Broadway Ste 300
Walnut Creek, CA 94596-5229
Phone
(925) 295-4145
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 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 92020 CA Primary

Addresses

Primary practice location

710 S Broadway Ste 300
Walnut Creek, CA 94596-5229

Mailing address

710 S Broadway Ste 300
Walnut Creek, CA 94596-5229

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
I20240905000775 CA Practitioner - Clinical Social Worker 3476093485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bixby Mental Health IncGroup PAC ID 4385098458, 4 clinicians

Practice addresses (Care Compare)

600 S San Vicente Blvd
Suite 100
Los Angeles, CA 90048-4664
Phone (310) 873-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bixby Mental Health Inc. Clinical CurrentSince Aug 1, 2024 Accepting new patients
Apex Multispecialty Medical Group, Inc Past Accepting new patients

Locations

9663 Santa Monica Blvd
Beverly Hills, CA 90210
Phone (310) 275-8377

600 S San Vicente Blvd
Ste 100
Los Angeles, CA 90048
Phone (310) 873-3312

Organizations & group practices 2

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": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1245879725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965229",
            "telephone_number": "925-295-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMIE",
        "middle_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.