Active NPI
Corrina Alicia Williams, LCSW
- Social Worker
- Eureka, CA
National Provider Identifier
1952855652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW118546
- Practice address
- 720 Wood St
Eureka, CA 95501-4413 - Phone
- (707) 268-2990
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ASW85473 | CA | |
| Social Worker | 104100000X | LCSW118546 | CA | Primary |
Addresses
Primary practice location
720 Wood St
Eureka, CA 95501-4413
Mailing address
720 Wood St
Eureka, CA 95501-4413
Phone (707) 268-2990
Other practice location 1
3217 Cohasset Rd
Chico, CA 95973-5404
Phone (530) 891-2986
Other practice location 2
301 Chestnut St
Mount Shasta, CA 96067-2214
Phone (530) 926-1436
Other practice location 3
2060 Campus Dr
Yreka, CA 96097-9538
Phone (530) 841-4100 ext. 2206
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 |
|---|---|---|---|
| ASW85473 | CA | MD | Counselor |
| LCSW118546 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1952855652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WOOD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014413",
"telephone_number": "707-268-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WOOD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014413",
"telephone_number": "707-268-2990"
}
],
"practiceLocations": [
{
"address_1": "3217 Cohasset Rd",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959735404",
"country_code": "US",
"telephone_number": "530-891-2986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Chestnut St",
"address_purpose": "LOCATION",
"city": "Mount Shasta",
"state": "CA",
"postal_code": "960672214",
"country_code": "US",
"telephone_number": "530-926-1436",
"fax_number": "530-926-2305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2060 Campus Dr",
"address_purpose": "LOCATION",
"city": "Yreka",
"state": "CA",
"postal_code": "960979538",
"country_code": "US",
"telephone_number": "530-841-4100 x2206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CORRINA",
"middle_name": "ALICIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "ASW85473",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW118546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.