Healthcare Provider Details

I. General information

NPI: 1427989037
Provider Name (Legal Business Name): NIJIA MONAE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7787 ARUNDEL MILLS BLVD APT 410
HANOVER MD
21076-2224
US

IV. Provider business mailing address

7787 ARUNDEL MILLS BLVD APT 410 401
HANOVER MD
21076-2224
US

V. Phone/Fax

Practice location:
  • Phone: 215-688-2547
  • Fax:
Mailing address:
  • Phone: 215-688-2547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG2000046
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: