Healthcare Provider Details

I. General information

NPI: 1376093633
Provider Name (Legal Business Name): NADIYAH WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 10/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 YORK RD SUITE 202
BALTIMORE MD
21212-3610
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR SUITE 730
GREENBELT MD
20770-3504
US

V. Phone/Fax

Practice location:
  • Phone: 301-345-1022
  • Fax:
Mailing address:
  • Phone: 301-345-1022
  • Fax: 301-560-5558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number21587
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: