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NPI Code Detail

MEDICARE: JENNIFER LYNN WILLIAMS MSW, LSW, CSAYC

MEDICARE: JENNIFER LYNN WILLIAMS MSW, LSW, CSAYC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2506268OH
2104100000XSocial WorkerI.2506268OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013432699
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN WILLIAMS MSW, LSW, CSAYC
Provider Business Mailing Address
First Line : 1220 S 5TH ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-6814
Country : US
Telephone Number : 937-293-8300
Fax Number :
Provider Business Practice Location Address
First Line : 1349 E STROOP RD
Second Line :
City : DAYTON
State : OH
Zip : 45429-4925
Country : US
Telephone Number : 937-293-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2017
Last Update Date : 05/12/2026

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