| Mrs Tywanda Latrese Williams, LCSW | |
|
5214 4th Avenue Cir E, Bradenton, FL 34208-5621 | |
| (941) 782-4618 | |
| (941) 782-4642 |
| Full Name | Mrs Tywanda Latrese Williams |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 21 Years |
| Location | 5214 4th Avenue Cir E, Bradenton, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194960302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090156 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW11955 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carearc Inc | 2961474663 | 12 |
| Entity Name | Carearc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467413906 PECOS PAC ID: 2961474663 Enrollment ID: O20040812000395 |
| Entity Name | Community Health Center In Cowley County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568843050 PECOS PAC ID: 9537473095 Enrollment ID: O20160113001074 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tywanda Latrese Williams, LCSW Po Box 9478, Bradenton, FL 34206-9478 Ph: (941) 782-4299 | Mrs Tywanda Latrese Williams, LCSW 5214 4th Avenue Cir E, Bradenton, FL 34208-5621 Ph: (941) 782-4618 |
Miss Crystal Marie Le, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5203 52nd Ave W, Bradenton, FL 34210 Phone: 619-339-3644 | |
Mrs. Hostonia Segree Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Riverfront Blvd Ste 100, Bradenton, FL 34205 Phone: 866-936-5250 | |
Mr. John Louis Vertich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9114 58th Dr. E,, Ste. 110, Bradenton, FL 34202 Phone: 941-776-1777 Fax: 941-776-2812 | |
Ms. Jessica Lyn Wilde, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 439 Cortez Rd W, Bradenton, FL 34207 Phone: 941-755-7830 Fax: 941-755-5650 | |
Alessandra Mancuso, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13506 Messina Loop Unit 104, Bradenton, FL 34211 Phone: 203-499-8451 | |
Nicholas Jay King, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9050 58th Dr E, Bradenton, FL 34202 Phone: 941-907-0525 | |
Mary Pogan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3823 E State Road 64, Bradenton, FL 34208 Phone: 941-745-5111 Fax: 941-745-5667 |