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NPI Code Detail

MEDICARE: STEPHANIE NICOLE MCWILLIAMS LCSW

MEDICARE: STEPHANIE NICOLE MCWILLIAMS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker66736TX

General Provider Information

NPI Number : 1053521567
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE NICOLE MCWILLIAMS LCSW
Provider Business Mailing Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 216-235-1922
Fax Number :
Provider Business Practice Location Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 216-235-1922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 02/05/2026

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Directions to “ STEPHANIE NICOLE MCWILLIAMS LCSW” Practice Location

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