Lawanda Jean Williams, 13598-R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13598-R Issued in CA

Practice address

4626 N Grand Ave
Covina, CA 91724-2055

Phone

(626) 331-5316

Fax

(626) 332-2219

NPI assigned

Mar 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1821623760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242055",
            "telephone_number": "626-331-5316",
            "fax_number": "626-332-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242055",
            "telephone_number": "626-331-5316",
            "fax_number": "626-332-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAWANDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "13598-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13598-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Garner Williams, MD
• Jasiah Williams
• Kaila R Williams
• Kelly Marie Williams, HEARING AID DISPENSE
• Krystal Williams
• Rachel Williams, OT/L
• Rebekah Nicole Williams
• Shana Williams
• Thomanyque Williams
• Christine Lynn Williamson, LMFT

• Addiction (Substance Use Disorder) Counselor in Covina, CA
• Providers in Covina, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.