MEDICARE: MR. WILLIAM LEWIS POYNTER L.C.S.W.

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
1	1041C0700X	Clinical Social Worker	4530	CA
2	106H00000X	Marriage & Family Therapist	11927	CA

General Provider Information

NPI Number	:	1609938323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM LEWIS POYNTER L.C.S.W.

Provider Business Mailing Address
First Line	:	15916 SUNBURST ST
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-3140
Country	:	US
Telephone Number	:	818-891-4022
Fax Number	:	818-891-3550

Provider Business Practice Location Address
First Line	:	15916 SUNBURST ST
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-3140
Country	:	US
Telephone Number	:	818-891-4022
Fax Number	:	818-891-3550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2006
Last Update Date	:	09/11/2025

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