Healthcare Provider Details

I. General information

NPI: 1407783467
Provider Name (Legal Business Name): NAALIYAH MARKEISH WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 N BRIGHTLEAF BLVD BLDG D
SMITHFIELD NC
27577-7289
US

IV. Provider business mailing address

1007 AMELIA STATION WAY APT 303
CLAYTON NC
27520-9653
US

V. Phone/Fax

Practice location:
  • Phone: 919-714-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023206
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: