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 | 20 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 |
---|---|---|
Perry County Medical Center Inc | 4981706330 | 8 |
Carearc Inc | 2961474663 | 11 |
Perry County Medical Center Inc | 4981706330 | 8 |
Community Health Center In Cowley County Inc | 9537473095 | 7 |
Entity Name | Mckenzie Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
Entity Name | Perry County Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154322303 PECOS PAC ID: 4981706330 Enrollment ID: O20070303000037 |
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: Not Enrolled in Medicare 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 | |
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 | |
Darcy M Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3301 14th St W, Bradenton, FL 34205 Phone: 941-746-4515 |