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NPI Code Detail

MEDICARE: ROBYN LANELL WILLIAMS

MEDICARE: ROBYN LANELL WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW92173CA
21041C0700XClinical Social Worker
3101YM0800XMental Health CounselorASW92173CA
4171M00000XCase Manager/Care Coordinator
51041C0700XClinical Social Worker135670CA

General Provider Information

NPI Number : 1477063154
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN LANELL WILLIAMS
Provider Business Mailing Address
First Line : 2640 INDUSTRY WAY
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4284
Country : US
Telephone Number : 310-627-4525
Fax Number :
Provider Business Practice Location Address
First Line : 2640 INDUSTRY WAY
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4284
Country : US
Telephone Number : 310-627-4525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2017
Last Update Date : 12/01/2025

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