WESLEY WAYNE WILLIAMS
NPI 1790489763
Social Worker - Clinical in Victorville, CA

Active since March 27, 2023PECOS Enrolled
15409 ANACAPA RD STE 409-F, VICTORVILLE, CA 92392(909) 695-7410 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Aug 8, 2024, Jul 1, 2024 and 1 more (4 updates tracked since 2023).

About Wesley Wayne Williams NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESLEY WAYNE WILLIAMS (NPI 1790489763) is an individual clinical provider in Victorville, California, licensed in California (112647) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Victorville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790489763
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWESLEY WAYNE WILLIAMS
Location Address15409 ANACAPA RD STE 409-FVictorville, CA 92392-2463
Mailing AddressPo Box 2622Victorville, CA 92393-2622 · (909) 695-7410
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2023
Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1790489763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 112647
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15409 ANACAPA RD STE 409-F, Victorville, CA 92392

Secondary Practice Location 1

Location 112555 Mariposa Rd Ste JVictorville, CA 92395-6010 · Phone (760) 596-0347 · Fax (760) 513-9743

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wesley Wayne Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850806639
PECOS Enrollment IDI20250804001197
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
15409 ANACAPA RD STE 409-F
VICTORVILLE, CA 92392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wesley Williams's NPI number?

The NPI number for Wesley Williams is 1790489763. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Wesley Williams located?

Wesley Williams practices at 15409 Anacapa Rd Ste 409-F, Victorville, CA 92392. The listed phone number is (909) 695-7410.

What is Wesley Williams's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wesley Williams enrolled in Medicare?

Yes. Wesley Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wesley Williams was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.