Provider Demographics
NPI:1316747546
Name:WILLIAMS, LINDA MICHELLE (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MICHELLE
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:WILLIAMS
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 11247
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94712-2247
Mailing Address - Country:US
Mailing Address - Phone:510-215-5001
Mailing Address - Fax:510-215-1115
Practice Address - Street 1:PO BOX 11247
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94712-2247
Practice Address - Country:US
Practice Address - Phone:510-215-5001
Practice Address - Fax:510-215-1115
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1232131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical