Individual provider Active NPI

Alycia Williams, LCSW

  • Clinical Social Worker
  • Rocklin, CA
National Provider Identifier
1396224671
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99178 Issued in CA
Practice address
1880 Stageline Cir
Rocklin, CA 95765-5470
Phone
(916) 276-0738
NPI assigned
Aug 8, 2018
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99178 CA
Clinical Social Worker 1041C0700X ASW81034 CA
Clinical Social Worker 1041C0700X 99178 CA Primary

Addresses

Primary practice location

1880 Stageline Cir
Rocklin, CA 95765-5470

Mailing address

3031 Stanford Ranch Rd Ste 2
Rocklin, CA 95765-5554
Phone (916) 276-0738

Other practice location 1

3725 Taylor Rd
Loomis, CA 95650-9283
Phone (916) 652-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99178CAMDClinical Social Worker
ASW81034CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Counseling and Coaching, LLC CurrentSince Mar 4, 2021 Accepting new patients
Koinonia Foster Homes, Inc. Past Accepting new patients
Koinonia Foster Homes, Inc. Past Accepting new patients

Locations

3031 Stanford Ranch Rd
Ste 2
Rocklin, CA 95765
Phone (916) 206-0752

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1396224671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 STANFORD RANCH RD STE 2",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655554",
            "telephone_number": "916-276-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 STAGELINE CIR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655470",
            "telephone_number": "916-276-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3725 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Loomis",
            "state": "CA",
            "postal_code": "956509283",
            "country_code": "US",
            "telephone_number": "916-652-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALYCIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99178",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW81034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.