Healthcare Provider Details

I. General information

NPI: 1255291365
Provider Name (Legal Business Name): MARCIA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 50TH ST NE APT 233
WASHINGTON DC
20019-5460
US

IV. Provider business mailing address

599 50TH ST NE APT 233
WASHINGTON DC
20019-5460
US

V. Phone/Fax

Practice location:
  • Phone: 202-520-2783
  • Fax:
Mailing address:
  • Phone: 202-520-2783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number1709698
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: