Provider Demographics
NPI:1457432668
Name:WILLIAMS, PATTI ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:ELIZABETH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:575 LINCOLN AVE
Mailing Address - Street 2:SUITE 300C
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3600
Mailing Address - Country:US
Mailing Address - Phone:707-224-5225
Mailing Address - Fax:707-224-5225
Practice Address - Street 1:575 LINCOLN AVE
Practice Address - Street 2:SUITE 300C
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3600
Practice Address - Country:US
Practice Address - Phone:707-224-5225
Practice Address - Fax:707-224-5225
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS112051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ00238ZMedicare ID - Type Unspecified