Healthcare Provider Details

I. General information

NPI: 1336653666
Provider Name (Legal Business Name): JOSLYN WILLIAMS LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2017
Last Update Date: 11/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N HOWARD ST STE 300
BALTIMORE MD
21218-5909
US

IV. Provider business mailing address

3730 DOLFIELD AVE
BALTIMORE MD
21215-6130
US

V. Phone/Fax

Practice location:
  • Phone: 443-438-6742
  • Fax: 443-773-5624
Mailing address:
  • Phone: 443-769-3074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number23443
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: