Cornell Williams, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. He graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1224 Vine St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 769-6159.
Cornell Williams is licensed to practice in California (license number 73384) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598019382.
Healthcare Provider's Profile
| Full Name | Cornell Williams |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 1224 Vine St, Los Angeles, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Cornell Williams graduated from medical school in 2012
NPI Data:
- NPI Number: 1598019382
- Provider Enumeration Date: 11/01/2012
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2567992373
- Enrollment ID: I20251105004618
Medical Identifiers
Medical identifiers for Cornell Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598019382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 34634 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 73384 (California) | 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. Cornell Williams is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Cornell Williams, 1224 Vine St, Los Angeles, CA 90038-1612 Ph: () - | Cornell Williams, 1224 Vine St, Los Angeles, CA 90038-1612 Ph: (323) 769-6159 |
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