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NPI Code Detail

MEDICARE: RODERIC WILLIAMS LPC

MEDICARE: RODERIC WILLIAMS LPC
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
1101YM0800XMental Health Counselor0701015921VA
2101YP2500XProfessional Counselor0701075921VA

General Provider Information

NPI Number : 1093663585
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODERIC WILLIAMS LPC
Provider Business Mailing Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2867
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2867
Country : US
Telephone Number : 757-756-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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1043726045 — MS. MASHAWN SCOTT-CARR ED.D., LPC, CSAC
Practice Location Address:
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Directions to “ RODERIC WILLIAMS LPC” Practice Location

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