Miss Cermillia Lavone Williams, MBA, MSW is a
Community Health Worker based in Mesa, Arizona. Miss Cermillia Lavone Williams is licensed to practice in Arizona (license number CHW0000000455) and her current practice location is
2655 W Guadalupe Rd Ste 7, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at
(314) 494-7603.
NPI number for Miss Cermillia Lavone Williams is 1659857316 and her current mailing address is 2929 E Broadway Rd Unit 29, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659857316.
Healthcare Provider's Profile
| Full Name | Miss Cermillia Lavone Williams |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2655 W Guadalupe Rd Ste 7, Mesa, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659857316
- Provider Enumeration Date: 07/16/2018
- Last Update Date: 08/06/2024
Medical Identifiers
Medical identifiers for Miss Cermillia Lavone Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659857316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| 372500000X | Chore Provider | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | CHW0000000455 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Cermillia Lavone Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Cermillia Lavone Williams, MBA, MSW
2929 E Broadway Rd Unit 29,
Mesa, AZ 85204-1748
Ph: (314) 494-7603 | Miss Cermillia Lavone Williams, MBA, MSW
2655 W Guadalupe Rd Ste 7,
Mesa, AZ 85202-7246
Ph: (314) 494-7603 |
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