Anicia Andrea Williams, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48852 Issued in CA

Practice address

103 Shoreline Pkwy
Recovery Connections Center- Bacr
San Rafael, CA 94901-5581

Phone

(415) 755-2376

Fax

(415) 755-2276

NPI assigned

Aug 13, 2007

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1881886901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SHORELINE PKWY",
            "address_2": "RECOVERY CONNECTIONS CENTER- BACR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015581",
            "telephone_number": "415-755-2376",
            "fax_number": "415-755-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SHORELINE PKWY",
            "address_2": "RECOVERY CONNECTIONS CENTER- BACR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015581",
            "telephone_number": "415-755-2376",
            "fax_number": "415-755-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANICIA",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Richard Wilbur, M.S. MFT
• David Wilde
• Laura Wilkes
• Ariel Wilks
• Rebecca Maria Willey, ASW
• Ashleigh Williams, M.S., MFTI
• Cheryl Williams, PT
• Laura B Williams
• Nicole Williams
• Paris Williams, PHD

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.