Individual provider Active NPI

Bithiah Keturah Williams

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1528611860
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121385 Issued in CA
Practice address
10423 Old Placerville Rd Ste a
Sacramento, CA 95827-2540
Phone
(916) 737-5555
NPI assigned
Jul 16, 2019
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X 121385 CA Primary

Addresses

Primary practice location

10423 Old Placerville Rd Ste a
Sacramento, CA 95827-2540

Mailing address

11544 Pyrites Way
Gold River, CA 95670-6224
Phone (916) 585-1478

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
I20240509002578 CA Practitioner - Clinical Social Worker 4082055918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Apr 1, 2024 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

10423 Old Placerville Rd
Ste A
Sacramento, CA 95827
Phone (916) 569-8600

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: bithiah.williams.p1@direct.wellspacehealth.nextgenshare.com

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1528611860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11544 PYRITES WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706224",
            "telephone_number": "916-585-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 OLD PLACERVILLE RD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272540",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BITHIAH",
        "middle_name": "KETURAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.