| Mr Cori Jamal Williams, LICSW | |
| 
					7 Cabot Pl Ste 3b, Stoughton, MA 02072-4631  | |
| (857) 227-9101 | |
| (833) 553-4120 | 
| Full Name | Mr Cori Jamal Williams | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 7 Cabot Pl Ste 3b, Stoughton, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770054751 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary | 
| 1041C0700X | Social Worker - Clinical | (Massachusetts) | Primary | 
| Entity Name | Fathers Uplift Family Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174975452 PECOS PAC ID: 7012334774 Enrollment ID: O20200827000236  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Cori Jamal Williams, LICSW 7664 Legacy Ridge Dr, West Chester, OH 45069-5930 Ph: (857) 829-3067  | Mr Cori Jamal Williams, LICSW 7 Cabot Pl Ste 3b, Stoughton, MA 02072-4631 Ph: (857) 227-9101  | 
Ms. Susan Marydith Graesser, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 Walnut Ct, Stoughton, MA 02072 Phone: 781-344-0244  | |
Jo Anne Soshnick, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 378 Page St Ste 6, Stoughton, MA 02072 Phone: 339-364-8080 Fax: 781-436-5829  | |
Charlotte Frances Mccarthy,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Pearl St, Stoughton, MA 02072 Phone: 781-344-0057  | |
Lynne Kathy Mitchell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Chipman Ln, Stoughton, MA 02072 Phone: 781-344-9645  | |
Mrs. Rina Radding, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Glen St, Suite 14, Stoughton, MA 02072 Phone: 781-784-5778 Fax: 781-341-0420  | |
Krista Yvonne Perdue,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Page St Ste 9, Stoughton, MA 02072 Phone: 508-367-0858  | |
Nancy M Gibbons, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 966a Park St, Stoughton, MA 02072 Phone: 781-341-0923 Fax: 781-341-0994  |