ASHLEY RENAE WILLIAMS-QUEEN BA NPI 1487962114

Case Manager/Care Coordinator in Moreno Valley, CA

About ASHLEY WILLIAMS-QUEEN

Ashley Williams-queen is a provider in Moreno Valley, CA. The NPI number assigned to this provider is 1487962114. The practitioner's primary taxonomy code is Case Manager/Care Coordinator (171M00000X). The provider is registered as an individual and their NPI record was last updated 4 years ago.

NPI

1487962114

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ASHLEY RENAE WILLIAMS-QUEEN BA
Provider Location Address13262 LASSELLE ST APT 2011 MORENO VALLEY, CA 92553 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address13262 LASSELLE ST APT 2011 MORENO VALLEY, CA 92553 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-15-2010 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-13-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ASHLEY RENAE WILLIAMS-QUEEN BA
13262 LASSELLE ST APT 2011
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 256-7829

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Mailing Address

ASHLEY RENAE WILLIAMS-QUEEN BA
13262 LASSELLE ST APT 2011
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 256-7829

Primary Taxonomy

Taxonomy Code171M00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCase Manager/Care Coordinator
TypeOther Service Providers
Taxonomy DescriptionA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthNo
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