MR. DERRICK DEMETRIUS WILLIAMS SR. (NPI# 1518290873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518290873 |
| Entity Type | Individual |
| Full Name | MR. DERRICK DEMETRIUS WILLIAMS SR. |
| Practice Address |
4343 Williamsbourgh Dr Sacramento CA 95823-2006 |
| Practice Telephone | 9163953552 |
| Mailing Telephone | 9163953552 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1053548339 | Derrick V Williams | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # J4-3331, Anes: Anesthesiology, Cleveland, OH 44195-0001 | 2009-06-15 |
| 1881293892 | Derrick Williams | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-10-21 |
| 1306302682 | Derrick Williams | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-02-12 |
| 1285178889 | Derrick Williams | Community Health Worker | 7733 Forsyth Blvd Fl 11, Clayton, MO 63105-1878 | 2016-12-15 |
| 1144771262 | Derrick Williams | Counselor | 1602 Royal Ave, Monroe, LA 71201-5612 | 2016-10-24 |
| 1457774606 | Derrick Martin Williams | Counselor | 102 Pilling St, Brooklyn, NY 11207-1610 | 2014-01-23 |
| 1942574207 | Derrick Williams | Social Worker | 2302 Parklake Dr Ne, Suite 350, Atlanta, GA 30345-2896 | 2012-03-05 |
| 1780966408 | Derrick H Williams | Family Medicine | 305 Estill St, 4th Floor, Berea, KY 40403-1742 | 2011-09-20 |
| 1366724619 | Derrick Williams | Rehabilitation Practitioner | 3840 N Commerce St, Ste. 200, North Las Vegas, NV 89032-8104 | 2011-09-13 |
| 1922333194 | Derrick Lane Williams | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2009-10-06 |
| Street Address |
4343 WILLIAMSBOURGH DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104802289 | Steven Ross Phillips | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2005-12-20 |
| 1275140139 | Ahjae Anderson | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2020-09-25 |
| 1376175224 | Marisela I Corona | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2020-02-09 |
| 1376173948 | Miriam Joelle Whyman | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2020-01-22 |
| 1215572946 | Robert Keith Miller | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2019-11-18 |
| 1194374397 | Fairy Mae Allen | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2019-09-10 |
| 1861049314 | Brittany Anne Lucchese | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2019-08-20 |
| 1114572039 | Amber Gueyger | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2019-08-07 |
| 1972164192 | Alyssia Jeaneese Mallory | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823 | 2019-06-27 |
| 1639732712 | Monica Petersen | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on MR. DERRICK DEMETRIUS WILLIAMS SR..
| 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.