Ms Chanel Dominique Williams, ASW is a
Counselor - Mental Health based in Long Beach, California. Ms Chanel Dominique Williams is licensed to practice in * (Not Available) (license number ) and her current practice location is
3939 Atlantic Ave Ste 103, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(562) 264-6001.
NPI number for Ms Chanel Dominique Williams is 1013630318 and her current mailing address is 447 N El Molino Ave, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013630318.
Healthcare Provider's Profile
| Full Name | Ms Chanel Dominique Williams |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 3939 Atlantic Ave Ste 103, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013630318
- Provider Enumeration Date: 09/21/2022
- Last Update Date: 06/22/2023
Medical Identifiers
Medical identifiers for Ms Chanel Dominique Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013630318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Chanel Dominique Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Chanel Dominique Williams, ASW
447 N El Molino Ave,
Pasadena, CA 91101-1403
Ph: (626) 577-8480 | Ms Chanel Dominique Williams, ASW
3939 Atlantic Ave Ste 103,
Long Beach, CA 90807-3529
Ph: (562) 264-6001 |
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