Breeanne Williams, LCSW
NPI 1508358334ActiveIndividual· Social Worker, Clinical· San Tan Valley, AZ
Social Worker, Clinical (LCSW) with Telemedicine Group PC, practicing in San Tan Valley, Arizona. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1508358334 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jun 6, 2018 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 104132 | CA |
| Counselor, Mental Health | 101YM0800X | 84248 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Telemedicine Group PCRoseville, CA · 100 clinicians
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