Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Nicole Williams

Individual provider Peer Specialist · NPI 1619757697

Marisa Nicole Williams is a Peer Specialist in Oakland, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 613-0330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1619757697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

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