Active NPI
Kathryn D Williams, LCSW
- Clinical Social Worker
- Quincy, CA
National Provider Identifier
1992050629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76977
- Practice address
- 65 Main St
Quincy, CA 95971 - Phone
- (530) 283-2465
- NPI assigned
- Jul 18, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 76977 | CA | Primary |
Addresses
Primary practice location
65 Main St
Quincy, CA 95971
Mailing address
65 Main St
Quincy, CA 95971-9494
Phone (530) 283-2465
Other practice location 1
555 Hospital Lane
Susanville, CA 96130
Phone (530) 251-8108
Other practice location 2
67436 Spinreel Rd
North Bend, OR 97459-7761
Phone (530) 251-8108
Other names 1
- Kathryn D Zachman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76977 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1992050629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 MAIN ST",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719494",
"telephone_number": "530-283-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MAIN ST",
"city": "QUINCY",
"state": "CA",
"postal_code": "95971",
"telephone_number": "530-283-2465"
}
],
"practiceLocations": [
{
"address_1": "555 Hospital Lane",
"address_purpose": "LOCATION",
"city": "Susanville",
"state": "CA",
"postal_code": "96130",
"country_code": "US",
"telephone_number": "530-251-8108",
"fax_number": "530-251-8394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "67436 Spinreel Rd",
"address_purpose": "LOCATION",
"city": "North Bend",
"state": "OR",
"postal_code": "974597761",
"country_code": "US",
"telephone_number": "530-251-8108",
"fax_number": "530-251-8394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KATHRYN",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "ZACHMAN",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Quincy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.