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NPI Code Detail

MEDICARE: JIMECIA WILLIAMS

MEDICARE: JIMECIA 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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social Worker15114LA

General Provider Information

NPI Number : 1518430073
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIMECIA WILLIAMS
Provider Business Mailing Address
First Line : 106 BUSINESS PARK AVENUE
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726
Country : US
Telephone Number : 888-417-5250
Fax Number : 225-341-8756
Provider Business Practice Location Address
First Line : 12097 OLD HAMMOND HWY STE I4
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-8679
Country : US
Telephone Number : 225-246-8816
Fax Number : 225-302-5506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/12/2026

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Directions to “ JIMECIA WILLIAMS ” Practice Location

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