Lisa Rena Williams
Individual provider Active NPI Clinical Social Worker · Round Mountain, CA
NPI 1619701646 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1619701646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 29632 E Highway 299
Round Mountain, CA 96084-8000 - Phone
- (530) 337-6263
- NPI assigned
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
29632 E Highway 299
Round Mountain, CA 96084-8000
Mailing address
PO Box 228
Round Mountain, CA 96084-0228
Phone (530) 337-6263
Other providers in Round Mountain, CA
All providers in Round Mountain, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.