Healthcare Provider Details

I. General information

NPI: 1447585112
Provider Name (Legal Business Name): ERICA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13585 SAN PABLO AVE
SAN PABLO CA
94806-3863
US

IV. Provider business mailing address

13585 SAN PABLO AVE
SAN PABLO CA
94806-3863
US

V. Phone/Fax

Practice location:
  • Phone: 510-942-4700
  • Fax:
Mailing address:
  • Phone: 901-598-0968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: