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NPI Code Detail

MEDICARE: JASMINE LATRICE WILLIAMS LCSW

MEDICARE: JASMINE LATRICE WILLIAMS LCSW
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 WorkerC018641NC

General Provider Information

NPI Number : 1558712844
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE LATRICE WILLIAMS LCSW
Provider Business Mailing Address
First Line : 4611 BLACK DRUM DR
Second Line :
City : RALEIGH
State : NC
Zip : 27616-4101
Country : US
Telephone Number : 919-995-9797
Fax Number :
Provider Business Practice Location Address
First Line : 100 EASTOWNE DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-2286
Country : US
Telephone Number : 984-974-4462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 06/08/2026

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Directions to “ JASMINE LATRICE WILLIAMS LCSW” Practice Location

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