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NPI Code Detail

MEDICARE: JESSICA ANNA WILLIAMS LMSW

MEDICARE:   JESSICA ANNA WILLIAMS  LMSW
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
1101YM0800XMental Health Counselor111949TX

General Provider Information

NPI Number : 1245181593
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ANNA WILLIAMS LMSW
Provider Business Mailing Address
First Line : 5201 WHITE SANDS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-3948
Country : US
Telephone Number : 208-310-3133
Fax Number :
Provider Business Practice Location Address
First Line : 5217 VILLAGE CREEK DR
Second Line :
City : PLANO
State : TX
Zip : 75093-4416
Country : US
Telephone Number : 469-904-1071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ JESSICA ANNA WILLIAMS LMSW” Practice Location

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