MEDICARE: WARWICK WILLIAMS MSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1578979878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARWICK WILLIAMS MSW

Provider Business Mailing Address
First Line	:	1011 WASHINGTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-6619
Country	:	US
Telephone Number	:	718-585-4205
Fax Number	:	718-585-4307

Provider Business Practice Location Address
First Line	:	1011 WASHINGTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-6619
Country	:	US
Telephone Number	:	718-585-4205
Fax Number	:	718-585-4307

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

Provider Enumeration Date	:	07/08/2014
Last Update Date	:	07/08/2014

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