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1205399748

NPI Code Detail

MEDICARE: MS. JASMINE MARIE WILLIAMS LCSW-C

MEDICARE: MS. JASMINE MARIE WILLIAMS LCSW-C

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
1	104100000X	Social Worker	105632	NY
2	1041C0700X	Clinical Social Worker	25068	MD

General Provider Information

NPI Number	:	1205399748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JASMINE MARIE WILLIAMS LCSW-C

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	:	04/11/2019
Last Update Date	:	02/11/2023

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Directions to “ MS. JASMINE MARIE WILLIAMS LCSW-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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