MEDICARE: MS. JUDY E WILLIAMS MSW, LICSW

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	101Y00000X	Counselor	LG100126	DC
2	1041C0700X	Clinical Social Worker	LC50078873	DC

General Provider Information

NPI Number	:	1952435315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDY E WILLIAMS MSW, LICSW

Provider Business Mailing Address
First Line	:	3729 LUMAR DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1861
Country	:	US
Telephone Number	:	301-248-6265
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 NEW YORK AVE NE
Second Line	:	4 TH FLOOR
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3320
Country	:	US
Telephone Number	:	202-671-0389
Fax Number	:	202-673-7502

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	04/09/2010

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