Edrick Williams

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10808 Rhodenda Ave
Upper Marlboro, MD 20772-4724

Phone

(240) 614-8870

NPI assigned

Mar 27, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1942903935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 RHODENDA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724724",
            "telephone_number": "240-614-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 RHODENDA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724724",
            "telephone_number": "240-614-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams-Madray Counseling Service (N/a)
• Antonio Madrid Williams
• Dale R Williams, LCPC
• Dana Williams
• Delicia Williams
• Esther Williams, LICSW
• Juanita Williams
• Kevin G Williams
• Lakisha M Williams, DHA, CRNP, PMHNP-BC
• Laura Williams, LPC

• Case Manager/Care Coordinator in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.