Provider Demographics
NPI:1962108407
Name:WILLIAMS-JAMES, MAUREEN D
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:D
Last Name:WILLIAMS-JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11310 CHANTILLY LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2416
Mailing Address - Country:US
Mailing Address - Phone:301-919-8887
Mailing Address - Fax:
Practice Address - Street 1:11310 CHANTILLY LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2416
Practice Address - Country:US
Practice Address - Phone:301-919-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1000434OtherSOCIAL WORKER