MEDICARE: WELL-KONNECT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	313M00000X	Nursing Facility/Intermediate Care Facility
3	251S00000X	Community/Behavioral Health Agency
4	261QC1800X	Corporate Health Clinic/Center
5	261QC1500X	Community Health Clinic/Center
6	315P00000X	Intellectual Disabilities Intermediate Care Facility
7	251B00000X	Case Management Agency
8	261QR1100X	Research Clinic/Center
9	103TA0700X	Adult Development & Aging Psychologist
10	261QF0400X	Federally Qualified Health Center (FQHC)
11	251300000X	Local Education Agency (LEA)
12	261QP2300X	Primary Care Clinic/Center
13	252Y00000X	Early Intervention Provider Agency
14	305S00000X	Point of Service
15	302R00000X	Health Maintenance Organization

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992339006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL-KONNECT LLC

Provider Business Mailing Address
First Line	:	1629 K ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1602
Country	:	US
Telephone Number	:	202-600-7805
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 30TH ST SE APT 301
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1657
Country	:	US
Telephone Number	:	240-620-1587
Fax Number	:	240-620-1587

Authorized Official
Title or Position	:	FOUNDER/ CEO
Name	:	KAWANA JEFFER WILLIAMS
Credential	:
Telephone Number	:	240-620-1587

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	12/19/2025

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Directions to “WELL-KONNECT LLC ” Practice Location

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