Active NPI
Matthew R. Williams, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1780848358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27812
- Practice address
- 651 I St
Sacramento, CA 95814-2400 - Phone
- (916) 874-6172
- Fax
- (916) 854-9194
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 27812 | CA | Primary |
Addresses
Primary practice location
651 I St
Sacramento, CA 95814-2400
Mailing address
711 G St
Sacramento, CA 95814-1212
Phone (916) 874-6172
Other practice location 1
12500 Bruceville Rd
Elk Grove, CA 95757-9784
Phone (916) 874-6172
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 |
|---|---|---|---|
| 27812 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1780848358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 G ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958141212",
"telephone_number": "916-874-6172",
"fax_number": "916-854-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 I ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142400",
"telephone_number": "916-874-6172",
"fax_number": "916-854-9194"
}
],
"practiceLocations": [
{
"address_1": "12500 Bruceville Rd",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "957579784",
"country_code": "US",
"telephone_number": "916-874-6172",
"fax_number": "916-854-9194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MATTHEW",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.