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NPI Code Detail

MEDICARE: YANIQUE WILLIAMS LICSW

MEDICARE:   YANIQUE  WILLIAMS  LICSW
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 Worker0904014599VA
2104100000XSocial Worker094186-1NY
31041C0700XClinical Social WorkerLC50082156DC

Other Identifiers

General Provider Information

NPI Number : 1245619501
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANIQUE WILLIAMS LICSW
Provider Business Mailing Address
First Line : 3400 MARTIN LUTHER KING JR AVE SE STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-1542
Country : US
Telephone Number : 202-724-7666
Fax Number :
Provider Business Practice Location Address
First Line : 3400 MARTIN LUTHER KING JR AVE SE STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-1542
Country : US
Telephone Number : 202-724-7666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2015
Last Update Date : 03/13/2026

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