WANDA JEAN WILLIAMS (NPI# 1952865719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952865719 |
| Entity Type | Individual |
| Full Name | WANDA JEAN WILLIAMS |
| Credential | RADT |
| Practice Address |
2504 W Manchester Blvd Inglewood CA 90305-2520 |
| Mailing Address |
1215 Exposition Blvd Apt 1 Los Angeles CA 90007-4250 |
| Practice Telephone | 3237513805 |
| Practice Fax Number | 3237505885 |
| Mailing Telephone | 3238260070 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083069413 | Wanda Lisam Williams | Counselor | 1617 Gregg Ave Apt B, Florence, SC 29501-3107 | 2016-05-04 |
| 1124404553 | Wanda Marie Williams | Contractor | 4104 Woodhall St, Detroit, MI 48224-2221 | 2015-08-07 |
| 1639484652 | Wanda Lacarol Williams | Counselor | 6570 N 80th St, 208#, Milwaukee, WI 53223-5579 | 2010-08-13 |
| 1700061256 | Wanda Lynn Williams | Registered Nurse | 11498 Leatherleaf Rd, Fontana, CA 92337-1022 | 2008-01-03 |
| 1528256559 | Wanda Williams IIi | Case Manager/Care Coordinator | 2113 N Charles St, Baltimore, MD 21218-5710 | 2007-10-03 |
| 1194848564 | Wanda Deal Williams | Counselor | 4855 Pleasant Place Rd, Salisbury, NC 28147-8343 | 2007-04-09 |
| 1083772362 | Wanda Elizabeth Williams | Home Health Aide | 2033 Kylemore Dr, Xenia, OH 45385-3933 | 2006-12-05 |
| 1144222845 | Wanda Teresa Williams | Counselor | 327 N Queen St, Suite 110, Kinston, NC 28501-4984 | 2005-08-12 |
| 1427681832 | Wanda Williams | Licensed Practical Nurse | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-14 |
| 1538661913 | Wanda Arlene Williams | Technician | 801 S Rancho Dr Ste E2b, Las Vegas, NV 89106-3812 | 2018-03-01 |
| Street Address |
2504 W MANCHESTER BLVD |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90305-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992923098 | Wendy Marie Crandall-cohen | Marriage & Family Therapist | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2007-04-23 |
| 1235783689 | Anita Denise Boatwright | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2019-07-24 |
| 1891250080 | Zainab Mohammed | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2019-02-01 |
| 1578027256 | Risha Nicole Land | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2019-01-26 |
| 1205390069 | Rose Amanda Moore | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2019-01-25 |
| 1487132411 | Bruce E Morse | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2018-08-01 |
| 1316467079 | Liliana Hernandez Franco | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2017-06-23 |
| 1205376019 | Cumire Anthony | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2017-02-27 |
| 1730622143 | Scott Frieden | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2016-12-02 |
| 1427433994 | Marine Akopyan | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2015-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702683 | Mateasa D. Griffin | Technician | 3017 W. 82nd Street, Inglewood, CA 90305 | 2019-10-22 |
| 1699165951 | Nancy Lan Some | Nurse Practitioner | 8444 Crenshaw Blvd., Inglewood, CA 90305 | 2015-01-26 |
| 1427464320 | Ebony Sims | Dental Assistant | 3500 W Manchester Blvd, Unit #131, Inglewood, CA 90305 | 2014-07-11 |
| 1124229653 | Personal Mobility Services | Private Vehicle | 9705 S.4th Ave., Inglewood, CA 90305 | 2007-05-31 |
| 1982823399 | Earnestine Bernice White | Counselor | 3425 Manchester Blvd., Inglewood, CA 90305 | 2007-04-24 |
| 1972721272 | Larry J Strawn Jr. | Dentist | 8475 So Van Ness Ave, #106, Inglewood, CA 90305 | 2007-04-23 |
| 1114086105 | Lucas Health Partners, LLC | Clinic/Center | 3216 W. Manchester Blvd., Inglewood, CA 90305 | 2006-12-06 |
| 1861760456 | Marquita Jones | Counselor | 8619 Crenshaw Blvd, Inglewood, CA 90305 | 2011-12-09 |
| 1508147125 | Care Plus Family Dental | Clinic/Center | 8615 Crenshaw Blvd, #c, Inglewood, CA 90305 | 2011-09-09 |
| 1689811713 | Marva Diane Connor | Social Worker | 2500 W Manchester Blvd, Inglewood, AZ 90305 | 2009-01-12 |
| Find all providers in zip 90305 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389775 | Edward Mccarty | Counselor | 905 Glenway Dr Apt 5, Inglewood, CA 90302-2617 | 2020-09-04 |
| 1538603386 | Zina Love | Counselor | 241 S Market St Ste 4, Inglewood, CA 90301 | 2016-12-13 |
| 1477908044 | Raquel Montes | Counselor | 9722 Oceangate Avenue, Inglewood, CA 90301 | 2016-05-02 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1679955595 | Ronnie Salone | Counselor | 2930 W Imperial Hwy Ste 511, Inglewood, CA 90303-3139 | 2015-06-27 |
| 1699166405 | Hector Saucedo | Counselor | 323 N. Paririe Ave., Inglewood, CA 90301 | 2015-02-16 |
| 1295123883 | Ayesha Lewis Munir | Counselor | 2917 W 78th Pl, Inglewood, CA 90305-1027 | 2015-01-05 |
| 1659775302 | John Dennem | Counselor | 323 N. Praire Ave., Inglewood, CA 90301 | 2014-10-09 |
| 1376896217 | Guadalupe Torres | Counselor | 1210 S La Brea Ave Ste A, Inglewood, CA 90301-3894 | 2012-10-16 |
| 1740549526 | Abera Gebre | Counselor | 1210 S. Labrea Ave, Inglewood, CA 90301-3891 | 2012-05-14 |
| Find all providers in INGLEWOOD | ||||
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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.