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NPI Code Detail

MEDICARE: CHERRELL WILLIAMS

MEDICARE:   CHERRELL  WILLIAMS
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
1104100000XSocial Worker0903004747VA
2104100000XSocial Worker34333MD

General Provider Information

NPI Number : 1134071343
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERRELL WILLIAMS
Provider Business Mailing Address
First Line : 6800 JADE CT
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-1862
Country : US
Telephone Number : 518-955-4044
Fax Number :
Provider Business Practice Location Address
First Line : 6800 JADE CT
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-1862
Country : US
Telephone Number : 518-955-4044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ CHERRELL WILLIAMS ” Practice Location

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