Chandra Renee Williams

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80001 Issued in CA

Practice address

1625 Filbert St
Oakland, CA 94607-2890

Phone

(510) 663-9092

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1467050922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 TRUMAN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054839",
            "telephone_number": "510-767-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 FILBERT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072890",
            "telephone_number": "510-663-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHANDRA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Oakland",
            "affiliation": "N",
            "address_1": "1625 Filbert St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946072890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Lucy Williams, M.D.
• Antanique Nicole Williams
• Azah Williams
• Barbara Williams, LCSW
• Carol Lynn Williams, RN, MSN-FNP
• Chara Williams
• Charles Verdell Williams
• Che'Rhonda Rejina Williams
• Corlette Vanessa Williams
• Danielle Cherie Williams, M.D.

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, 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 Oct 15, 2020; 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.