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NPI Code Detail

MEDICARE: MELANIE LYLES-WILLIAMS LCSW-C

MEDICARE: MELANIE LYLES-WILLIAMS LCSW-C
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1700129319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE LYLES-WILLIAMS LCSW-C
Provider Business Mailing Address
First Line : 5000 THAYER CTR STE C
Second Line :
City : OAKLAND
State : MD
Zip : 21550-1139
Country : US
Telephone Number : 410-513-9651
Fax Number :
Provider Business Practice Location Address
First Line : 5000 THAYER CTR STE C
Second Line :
City : OAKLAND
State : MD
Zip : 21550-1139
Country : US
Telephone Number : 410-513-9651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2013
Last Update Date : 01/27/2025

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