Healthcare Provider Details

I. General information

NPI: 1184588295
Provider Name (Legal Business Name): KAREN MICHELE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

4301 58TH AVE
BLADENSBURG MD
20710-1900
US

IV. Provider business mailing address

8908 RIGGS RD RM 365
ADELPHI MD
20783-1632
US

V. Phone/Fax

Practice location:
  • Phone: 301-985-1860
  • Fax:
Mailing address:
  • Phone: 301-431-5630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1001558471
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: