MEDICARE: SHONIKA WILLIAMS

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	P021082	NC

General Provider Information

NPI Number	:	1548132848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHONIKA WILLIAMS

Provider Business Mailing Address
First Line	:	312 NATIONAL DR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-5116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 E MAIN ST STE 14-128
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-2309
Country	:	US
Telephone Number	:	864-381-7818
Fax Number	:

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

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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Directions to “ SHONIKA WILLIAMS ” Practice Location

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