ANDRE JAMAL WILLIAMS (NPI# 1679084727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679084727 |
| Entity Type | Individual |
| Full Name | ANDRE JAMAL WILLIAMS |
| Practice Address |
9343 Tech Center Dr Sacramento CA 95826-2563 |
| Practice Telephone | 9163886321 |
| Practice Fax Number | 9167792558 |
| Mailing Telephone | 9163886321 |
| Mailing Fax Number | 9167792558 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444914 | Andre Brandon Williams | Technician | 117d Washington Ave, Dunbar, WV 25064-3413 | 2020-10-15 |
| 1588057913 | Andre Williams | Technician, Other | 110 Aj Lane, Wendell, NC 27576 | 2015-03-10 |
| 1851600530 | Andre Williams | Contractor | 6137 Post Oak Rd W, Jacksonville, FL 32277-1554 | 2010-09-29 |
| 1356338297 | Andre Damian Williams | Obstetrics & Gynecology | 4166 Snapringer Woods Dr, Decatur, GA 30035 | 2005-10-05 |
| 1356834535 | Andre Williams | Licensed Vocational Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-06-12 |
| 1194170589 | Andre Williams | Physical Therapist | 12424 Wilshire Blvd, Suite 101, Los Angeles, CA 90025-1052 | 2016-05-04 |
| 1518312024 | Andre Williams | Licensed Practical Nurse | 1493 Remsen Ave, Brooklyn, NY 11236-4907 | 2016-05-03 |
| 1043613482 | Andre Williams | Social Worker | 1500 N 6th St, Ponca City, OK 74601-2827 | 2014-09-30 |
| 1699012898 | Andre Williams | Counselor | 800 N Rainbow Blvd Ste 100, Las Vegas, NV 89107-1190 | 2013-01-08 |
| 1750699237 | Andre L Williams | Social Worker | 127 W State St, Ithaca, NY 14850-5474 | 2010-09-19 |
| Street Address |
9343 TECH CENTER DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568445450 | Malia Audrey Mccarthy | Psychiatry & Neurology | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2005-11-23 |
| 1942830492 | Jesse Howard Johnson IIi | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2020-01-23 |
| 1134759772 | Lindsey Lee Williams | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2020-01-23 |
| 1528606829 | Johnny Lawrence Tillis | Counselor | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2019-12-17 |
| 1487291365 | Megan West | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2019-12-10 |
| 1467001073 | Edlira Longhurst | Counselor | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2019-09-06 |
| 1821643610 | Terri Lynn Todd | Counselor | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2019-08-07 |
| 1780237057 | Emily Ignacio | Counselor | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2019-07-16 |
| 1336701093 | Chloe Marie Smith | Clinic/Center | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2019-07-02 |
| 1508427808 | Jessica Lynn Barbour | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1891392676 | Natalie V Galaviz | Case Manager/Care Coordinator | 3815 Marconi Ave # 52, Sacramento, CA 95821-3867 | 2020-10-05 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1093332579 | David Lynch | Case Manager/Care Coordinator | 700 H St Ste 270, Sacramento, CA 95814-1289 | 2020-06-30 |
| 1770126906 | Chrysanthia D Leggett | Case Manager/Care Coordinator | 7415 Henrietta Dr Unit A, Sacramento, CA 95822-5142 | 2019-10-21 |
| 1558904870 | Larry Carter | Case Manager/Care Coordinator | 3700 Watt Ave Apt 13, Sacramento, CA 95821-2661 | 2019-10-18 |
| 1255982443 | Valerie Bishop | Case Manager/Care Coordinator | 5691 Boyton Way, Sacramento, CA 95823-3811 | 2019-09-27 |
| 1720637689 | Ayana Nuno | Case Manager/Care Coordinator | 1616 El Monte Ave, Sacramento, CA 95815-2903 | 2019-09-04 |
| 1154980597 | Nosazena Leo Uyigue | Case Manager/Care Coordinator | Sacramento County Mental Health Treatment Center, 2150 Stockton Boulevard, Sacramento, CA 95817-1337 | 2019-06-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.