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NPI Code Detail

MEDICARE: MS. GINA MARIE VAUGHN WILLIAMS LCSW

MEDICARE: MS. GINA MARIE VAUGHN WILLIAMS LCSW
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 WorkerLCSW28554CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710020490
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GINA MARIE VAUGHN WILLIAMS LCSW
Provider Business Mailing Address
First Line : PO BOX 1235
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92263-1235
Country : US
Telephone Number : 530-321-0787
Fax Number :
Provider Business Practice Location Address
First Line : 1091 N PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4419
Country : US
Telephone Number : 805-981-7889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 09/21/2025

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