Individual provider Active NPI

Dawayla Sheree Williams, MSW, LCSW

  • Clinical Social Worker
  • Stockton, CA
National Provider Identifier
1881226702
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8720-C Issued in NV
Practice address
4719 Quail Lakes Dr Ste G1046
Stockton, CA 95207-5267
Phone
(209) 915-1553
NPI assigned
Feb 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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 8720-C NV Primary

Addresses

Primary practice location

4719 Quail Lakes Dr Ste G1046
Stockton, CA 95207-5267

Mailing address

1500 Karen Ave Apt 354
Las Vegas, NV 89169-8841
Phone (209) 915-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012000623 NV Practitioner - Clinical Social Worker 0749600856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elements of Motivation LLC CurrentSince Nov 10, 2020 Accepting new patients
Claudia Barraza PastSince Nov 10, 2020 Accepting new patients

Locations

720 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 331-4874

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": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1881226702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 KAREN AVE APT 354",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891698841",
            "telephone_number": "209-915-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR STE G1046",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075267",
            "telephone_number": "209-915-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAWAYLA",
        "middle_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8720-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.