MEDICARE: REBECCA M 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	008133	IA

General Provider Information

NPI Number	:	1255679643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA M WILLIAMS

Provider Business Mailing Address
First Line	:	1501 42ND ST STE 445
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1005
Country	:	US
Telephone Number	:	515-400-7845
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 42ND ST STE 445
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1005
Country	:	US
Telephone Number	:	515-400-7845
Fax Number	:

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

Provider Enumeration Date	:	01/21/2013
Last Update Date	:	05/29/2024

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