Active NPI
Leticia Vaca Williams, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1669993895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77386
- Practice address
- 6116 La Salle Ave Ste 208
Oakland, CA 94611-2802 - Phone
- (510) 369-5909
- NPI assigned
- Jun 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 77386 | CA | Primary |
Addresses
Primary practice location
6116 La Salle Ave Ste 208
Oakland, CA 94611-2802
Mailing address
3569 Lyon Ave
Oakland, CA 94601-3839
Phone (510) 367-4785
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77386 | CA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1669993895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 LYON AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946013839",
"telephone_number": "510-367-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 LA SALLE AVE STE 208",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112802",
"telephone_number": "510-369-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACA WILLIAMS",
"first_name": "LETICIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.