Healthcare Provider Details

I. General information

NPI: 1265350995
Provider Name (Legal Business Name): CALVIN WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N 34TH ST STE 320
SEATTLE WA
98103-5296
US

IV. Provider business mailing address

400 N 34TH ST STE 320
SEATTLE WA
98103-5296
US

V. Phone/Fax

Practice location:
  • Phone: 206-385-7864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWIA.SC.70134673
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: