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NPI Code Detail

MEDICARE: MS. PATRICIA G WILLIAMS LCSW, CASAC

MEDICARE: MS. PATRICIA G WILLIAMS LCSW, CASAC
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
11041C0700XClinical Social Worker069283NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336381292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA G WILLIAMS LCSW, CASAC
Provider Business Mailing Address
First Line : 343 E 118TH ST
Second Line : 1B
City : NEW YORK
State : NY
Zip : 10035-4244
Country : US
Telephone Number : 212-348-3194
Fax Number : 212-879-5328
Provider Business Practice Location Address
First Line : 921 MADISON AVE
Second Line : LOWER LEVEL
City : NEW YORK
State : NY
Zip : 10021-3508
Country : US
Telephone Number : 917-677-0722
Fax Number : 212-879-5328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2009
Last Update Date : 03/24/2009

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