MEDICARE: DR. MONICA LYNN 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
1	1041C0700X	Clinical Social Worker	0904007118	VA
2	1041S0200X	School Social Worker	0904007118	VA

General Provider Information

NPI Number	:	1922351030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA LYNN WILLIAMS LCSW

Provider Business Mailing Address
First Line	:	PO BOX 12215
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23541-0215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E CITY HALL AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-2723
Country	:	US
Telephone Number	:	757-628-3928
Fax Number	:

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

Provider Enumeration Date	:	10/26/2012
Last Update Date	:	01/03/2022

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