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NPI Code Detail

MEDICARE: MR. MATTHEW R. WILLIAMS LCSW

MEDICARE: MR. MATTHEW R. 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 Worker27812CA

General Provider Information

NPI Number : 1780848358
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW R. WILLIAMS LCSW
Provider Business Mailing Address
First Line : 711 G ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-1212
Country : US
Telephone Number : 916-874-6172
Fax Number : 916-854-9194
Provider Business Practice Location Address
First Line : 651 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-2400
Country : US
Telephone Number : 916-874-6172
Fax Number : 916-854-9194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2008
Last Update Date : 12/16/2025

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