Individual provider Active NPI

Brittani Williams, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1730586314
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW83634 Issued in CA
Practice address
4238 El Cajon Blvd Ste 226
San Diego, CA 92105-1230
Phone
(619) 771-4218
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW83634 CA Primary

Addresses

Primary practice location

4238 El Cajon Blvd Ste 226
San Diego, CA 92105-1230

Mailing address

5819 Adelaide Ave
San Diego, CA 92115-5420
Phone (626) 374-7549

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW83634CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healmatic Group Practice a Licensed Clinical Social Work Corporation Mental Health CurrentSince May 22, 2022 Accepting new patients
New Haven Youth & Family Services, Inc Past Accepting new patients

Locations

4283 El Cajon Blvd
Ste 226
San Diego, CA 92105
Phone (619) 771-4218

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1730586314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 ADELAIDE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155420",
            "telephone_number": "626-374-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 EL CAJON BLVD STE 226",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051230",
            "telephone_number": "619-771-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRITTANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW83634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.