| Derrick L Williams, | |
|
19 Meadowood Drive, Langhorne, PA 19047-1616 | |
| (215) 750-4004 | |
| (215) 750-4322 |
| Full Name | Derrick L Williams |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 19 Meadowood Drive, Langhorne, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154452019 | NPI | - | NPPES |
| 1760596480 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 4846 (South Carolina) | Primary |
| Entity Name | Woods Community Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306540364 PECOS PAC ID: 0042664625 Enrollment ID: O20230930000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick L Williams, 106 Springview Ln, Summerville, SC 29485-8108 Ph: () - | Derrick L Williams, 19 Meadowood Drive, Langhorne, PA 19047-1616 Ph: (215) 750-4004 |
Robert Diaz, MA, CADC, CRS, CFRS, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1262 Wood Ln Ste 102, Langhorne, PA 19047 Phone: 267-358-5150 | |
Ms. Jameia Boone, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 N Bellevue Ave, Langhorne, PA 19047 Phone: 267-573-9989 | |
William Daniels, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Cornerstone Dr, Langhorne, PA 19047 Phone: 267-670-1968 | |
Christine Hatch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Cabot Blvd W, Langhorne, PA 19047 Phone: 267-587-2300 | |
Ashley Meade, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Cornerstone Dr, Langhorne, PA 19047 Phone: 215-757-6916 | |
Tara L Bane, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 670 Woodburne Rd, Family Service Association Of Bucks County, Langhorne, PA 19047 Phone: 215-757-6916 Fax: 215-757-2115 | |
Michelle Noll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Cabot Blvd W, Suite 100, Langhorne, PA 19047 Phone: 267-587-2300 |