MEDICARE: LEYNI MELODY WILLIAMS 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
1	1041C0700X	Clinical Social Worker	P023407	NC

General Provider Information

NPI Number	:	1124652565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEYNI MELODY WILLIAMS LCSW

Provider Business Mailing Address
First Line	:	1513 DULLES RD
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-6102
Country	:	US
Telephone Number	:	910-574-1306
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 DULLES RD
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-6102
Country	:	US
Telephone Number	:	910-574-1306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2020
Last Update Date	:	03/03/2026

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