MEDICARE: DYANNA 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1992426027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DYANNA WILLIAMS MSW

Provider Business Mailing Address
First Line	:	992 MAPLE CT
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-1599
Country	:	US
Telephone Number	:	321-271-8897
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 STATE ROAD 436 STE 100
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-6442
Country	:	US
Telephone Number	:	321-271-8897
Fax Number	:

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

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	09/09/2022

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