Colbert Bernard Williams Sr., M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS18531 Issued in CA

Practice address

2058 E Oldfield St
Lancaster, CA 93535-1727

Phone

(866) 726-7881

Fax

(661) 940-9317

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Executive & Life Coaching, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, CA
  • NPI 1306031257
  NPD (past) Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1366638678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44709 DATE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343101",
            "telephone_number": "866-726-7881",
            "fax_number": "661-940-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 E OLDFIELD ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351727",
            "telephone_number": "866-726-7881",
            "fax_number": "661-940-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COLBERT",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliza Margarete Wilde, MSW,ASW
• William J Copeland MD Inc
• Williams Chiropractic Health and Wellness Center Inc
• Angela K. Williams, LCSW
• Babylyn Williams
• Cristina Williams
• Dana Williams
• Dawn Elizabeth Williams, SLP
• Ebony Williams, LMFT
• Frank Williams

• Clinical Social Worker in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.