MEDICARE: VALERIE L CARTER-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	0904003292	VA

General Provider Information

NPI Number	:	1427287655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE L CARTER-WILLIAMS

Provider Business Mailing Address
First Line	:	PO BOX 74100
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23236-0002
Country	:	US
Telephone Number	:	804-230-4760
Fax Number	:	804-230-4766

Provider Business Practice Location Address
First Line	:	180 BELT BLVD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-1204
Country	:	US
Telephone Number	:	804-230-4760
Fax Number	:	804-230-4766

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

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	07/09/2009

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