MEDICARE: SOPHIA 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	374U00000X	Home Health Aide		PA
2	385H00000X	Respite Care		PA

General Provider Information

NPI Number	:	1386435899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA WILLIAMS

Provider Business Mailing Address
First Line	:	136 CALMONT DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5201
Country	:	US
Telephone Number	:	412-330-9796
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 CALMONT DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5201
Country	:	US
Telephone Number	:	412-330-9796
Fax Number	:

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

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	05/14/2025

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Directions to “ SOPHIA WILLIAMS ” Practice Location

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