MEDICARE: TIMEKA 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	54371	TX
2	1041S0200X	School Social Worker	54371	TX
3	104100000X	Social Worker	54371	TX

General Provider Information

NPI Number	:	1780130831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMEKA WILLIAMS

Provider Business Mailing Address
First Line	:	13700 VETERANS MEMORIAL DR STE 235
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1026
Country	:	US
Telephone Number	:	281-508-4466
Fax Number	:

Provider Business Practice Location Address
First Line	:	13700 VETERANS MEMORIAL DR STE 235
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1026
Country	:	US
Telephone Number	:	281-508-4466
Fax Number	:

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

Provider Enumeration Date	:	08/29/2016
Last Update Date	:	08/29/2016

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Directions to “ TIMEKA WILLIAMS ” Practice Location

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