Provider Demographics
NPI:1154017853
Name:WILLIAMS, TAMIA
Entity type:Individual
Prefix:
First Name:TAMIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 FLEMING AVE APT D
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2549
Mailing Address - Country:US
Mailing Address - Phone:341-221-0248
Mailing Address - Fax:
Practice Address - Street 1:TELECARE-CHANGES
Practice Address - Street 2:7200 BANCROFT AVE. BLDG B STE. 133
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-9460
Practice Address - Country:US
Practice Address - Phone:510-553-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker