Individual provider Active NPI

Julie Alaine Williams

  • Clinical Social Worker
  • Alturas, CA
National Provider Identifier
1366879413
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114626 Issued in CA
Practice address
441 N Main St
Alturas, CA 96101-3457
Phone
(530) 233-6312
Fax
(530) 233-6339
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 114626 CA Primary

Addresses

Primary practice location

441 N Main St
Alturas, CA 96101-3457

Mailing address

PO Box 187
Alturas, CA 96101-0187
Phone (530) 233-2538

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
I20230727002545 CA Practitioner - Clinical Social Worker 6305207002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of ModocGroup PAC ID 5193987808, 7 clinicians

Practice addresses (Care Compare)

441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114626CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Modoc CurrentSince Jun 10, 2023 Accepting new patients

Locations

441 N Main St
Alturas, CA 96101
Phone (530) 233-6312

Organizations & group practices 1

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1366879413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961010187",
            "telephone_number": "530-233-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013457",
            "telephone_number": "530-233-6312",
            "fax_number": "530-233-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JULIE",
        "middle_name": "ALAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alturas, CA

Sources for this page

Verify at the official NPI Registry.