MR. JERRY LEE WILLIAMS (NPI# 1902028087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902028087 |
| Entity Type | Individual |
| Full Name | MR. JERRY LEE WILLIAMS |
| Practice Address |
4041 Marlton Ave Suite 136 Los Angeles CA 90008-2519 |
| Mailing Address |
962 W 42nd Pl Los Angeles CA 90037-2511 |
| Practice Telephone | 3232946400 |
| Practice Fax Number | 3232946400 |
| Mailing Telephone | 3237386172 |
| Mailing Fax Number | 3232946400 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1881164762 | Jerry B Williams | Dentist | 24121 Ne 124th Circle, Brush Prairie, WA 98606-4322 | 2018-12-04 |
| 1447317722 | Jerry Valentine Williams | Internal Medicine | 317 W Ascension St, Gonzales, LA 70737-2805 | 2007-01-03 |
| 1962516195 | Jerry Lee Williams | Dentist | 310 N Tennessee St, Suite E, Cartersville, GA 30120-3270 | 2006-08-17 |
| 1053308114 | Jerry W Williams | Optometrist | 1605 W Court St, Winnfield, LA 71483-2653 | 2005-10-04 |
| 1073035168 | Jerry D Williams II | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671 | 2017-07-11 |
| 1538618145 | Jerry Williams | Nurse Practitioner | 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 | 2016-09-23 |
| 1326398249 | Jerry Williams | Counselor | 1302 Calle De La Merced, Espanola, NM 87532-2624 | 2012-09-18 |
| 1184877698 | Jerry Roy Williams | Counselor | 1255 Hilyard St, Eugene, OR 97401-3718 | 2008-10-28 |
| 1174791727 | Jerry Gregory Williams | Counselor | 2814 Lancaster Ave, Wilmington, DE 19805-5225 | 2008-02-18 |
| 1710086749 | Jerry K Williams Jr. | Psychiatry & Neurology | 2301 7th St, Suite B, Las Vegas, NM 87701-4966 | 2006-09-22 |
| Street Address |
4041 MARLTON AVE SUITE 136 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023238995 | Cp Professional Education and Counseling Services, Inc. | Community/Behavioral Health | 4041 Marlton Ave, Suite 136, Los Angeles, CA 90008-2519 | 2007-04-26 |
| 1366620288 | Christopher Ntagbu Nnadede | Counselor | 4041 Marlton Ave, Suite 136, Los Angeles, CA 90008-2519 | 2008-02-01 |
| 1114105046 | Victor Akparanta | Counselor | 4041 Marlton Ave, Suite 136, Los Angeles, CA 90008-2519 | 2008-02-01 |
| 1407034325 | Constance Hart | Counselor | 4041 Marlton Ave, Suite 136, Los Angeles, CA 90008-2519 | 2008-02-01 |
| 1275753311 | Sylvester Nwandimgbu Masha | Counselor | 4041 Marlton Ave, Suite 136, Los Angeles, CA 90008-2519 | 2007-04-30 |
| 1891915930 | Uchenna Hope Ikobi | Counselor | 4041 Marlton Ave, Suite 136, Los Angeles, CA 90008-2519 | 2007-04-30 |
| 1942420468 | John Anthony Hampton | Counselor | 4041 Marlton Ave, 136, Los Angeles, CA 90008-2519 | 2007-04-26 |
| 1649490145 | Carolyn Frances Lancaster | Counselor | 4041 Marlton Ave, 136, Los Angeles, CA 90008-2519 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
Please comment or provide details below to improve the information on MR. JERRY LEE WILLIAMS.
| 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.