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NPI Code Detail

MEDICARE: WESLEY MANTOYA WILLIAMS MSW, LCSW

MEDICARE: WESLEY MANTOYA WILLIAMS MSW, 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 WorkerC016458NC

General Provider Information

NPI Number : 1811508450
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY MANTOYA WILLIAMS MSW, LCSW
Provider Business Mailing Address
First Line : 844 PRYOR ST
Second Line :
City : MEBANE
State : NC
Zip : 27302-0717
Country : US
Telephone Number : 704-785-1135
Fax Number :
Provider Business Practice Location Address
First Line : 508 FULTON ST
Second Line :
City : DURHAM
State : NC
Zip : 27705-3875
Country : US
Telephone Number : 919-225-3384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2020
Last Update Date : 03/10/2026

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