Jennifer Williams, LICSW | |
508 Bethel St, Clover, SC 29710-1154 | |
(803) 675-8227 | |
Not Available |
Full Name | Jennifer Williams |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 508 Bethel St, Clover, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477627651 | NPI | - | NPPES |
1477627651 | Other | NPI | |
12947 | Other | SC | STATE OF SOUTH CAROLINA BOARD OF SOCIAL WORK EXAMINERS |
C012005 | Other | NC | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
ISW02643 | Other | RI | STATE OF RHODE ISLAND DEPARTMENT OF HEALTH |
114830 | Other | MA | COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12947 (South Carolina) | Primary |
Entity Name | Thriveworks Clinical - North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Williams, LICSW 10814 Saltmarsh Ln, Charlotte, NC 28278-6895 Ph: (774) 218-6236 | Jennifer Williams, LICSW 508 Bethel St, Clover, SC 29710-1154 Ph: (803) 675-8227 |
Rosa Maria Li Vigni, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1120 Amesbury Ct, Apt. 207, Clover, SC 29710 Phone: 917-751-3260 | |
Miss Lucretia Beanica Tillman, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 Wylie Springs Cir Apt 17-201, Clover, SC 29710 Phone: 980-328-6234 |