MEDICARE: MONICA GABRIELA 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
1	1041C0700X	Clinical Social Worker	S.2207514	OH

General Provider Information

NPI Number	:	1235812546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA GABRIELA WILLIAMS

Provider Business Mailing Address
First Line	:	4670 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-2004
Country	:	US
Telephone Number	:	614-395-9220
Fax Number	:

Provider Business Practice Location Address
First Line	:	4670 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-2004
Country	:	US
Telephone Number	:	614-395-9220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	05/04/2026

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