JACQUELYN SUE WILLIAMS


Address: 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424
Phone: 9377348333

JACQUELYN SUE WILLIAMS (NPI# 1295388452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295388452
Entity Type Individual
Full Name JACQUELYN SUE WILLIAMS
Credential PEER SUPPORT SPECIAL
Practice Address 601 South Edwin C Moses Blvd
Dayton
OH 45417-3424
Practice Telephone 9377348333
Mailing Telephone 9377348333
Enumeration Date 2019-07-17
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171M00000X Case Manager/Care Coordinator Other Service Providers
Y 175T00000X Peer Specialist 1355 OH Other Service Providers

Other Providers JACQUELYN WILLIAMS

NPI Name Taxonomy Address Enumeration
1245779115 Jacquelyn Williams Custodial Care Facility 2841 32nd St Se, Kentwood, MI 49512-1755 2017-02-13
1316184484 Jacquelyn Deneen Williams Social Worker 501 N Abbey Rd, Urbana, IL 61802-2284 2009-01-12
1396942074 Jacquelyn Counts Williams Nurse Practitioner 3521 Del Rey Blvd Ste B, Las Cruces, NM 88012-7708 2007-06-27
1225117153 Jacquelyn T Williams Psychologist 3625 E Thousand Oaks Blvd Ste 261, Westlake Village, CA 91362-3575 2006-11-02
1205375326 Jacquelyn Williams Pharmacist 460 W 10th Ave, Columbus, OH 43210-1240 2017-02-22
1851701411 Jacquelyn Williams Physical Therapist 9500 Euclid Ave, Cleveland, OH 44195-0001 2014-05-05
1679903181 Jacquelyn Williams Counselor 916 N Mountain Ave Ste A, Upland, CA 91786-3658 2013-11-19
1598045759 Jacquelyn A Williams Dental Assistant 3101 Burnet Ave, Cincinnati, OH 45229-3014 2011-08-19
1639457534 Jacquelyn Williams Nurse Practitioner 1300 37th St, Suite 1, West Des Moines, IA 50266-1900 2011-07-26
1245433796 Jacquelyn Michele Williams Dentist 2522 Dana St, Suite 101, Berkeley, CA 94704-2803 2007-06-11

Office Location

Street Address 601 SOUTH EDWIN C MOSES BLVD
City DAYTON
State OH
Zip Code 45417-3424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316919137 Amy B Jones Social Worker 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2006-02-06
1942809660 Michelle Toops Registered Nurse 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-10-23
1912505579 Anna B Chambers Registered Nurse 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-10-15
1639776057 Johnna G Kovach Social Worker 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-10-08
1083229751 Jenna J Branam Registered Nurse 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-09-10
1982219549 Sarah A Long Case Manager/Care Coordinator 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-09-10
1447863550 Jennifer Marshall Registered Nurse 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-08-28
1174136436 Ericka Hughes Social Worker 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-08-26
1437760592 Megan Schrodi Social Worker 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-08-12
1174132922 Emily M Hunter Registered Nurse 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2020-07-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891329504 Kanika Crowder Home Health Aide 5964 Hoover Ave, Dayton, OH 45417 2020-03-03
1427510510 Michael S Hatesohl Student in an Organized Health Care Education/Training Program 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 2019-04-05
1205313350 Latonda T Brewer Home Health Aide 3900 Cone Ct, Dayton, OH 45417 2018-07-22
1205326048 Diane Fillmore Case Manager/Care Coordinator 1818 West Main Street, Dayton, OH 45417 2018-05-17
1295222941 Zainab Saherwala Student in an Organized Health Care Education/Training Program 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 2018-04-18
1013430123 Bridgette Elizabeth Quinlin Counselor 4104 Germantown St, Dayton, OH 45417 2017-07-20
1083144679 Tadesha Marie Gay Licensed Practical Nurse 4748 Ericson Ave, Dayton, OH 45417 2017-06-15
1386180099 Bio-medical Applications of Ohio, Inc. Clinic/Center 821 S Edwin C Moses Blvd, Dayton, OH 45417 2017-01-19
1770039760 Jamie E Denlinger Social Worker 1 Elizabeth Pl Fl 3, Dayton, OH 45417 2016-08-30
1780069823 Care4us Behavioral Health Center, LLC Community/Behavioral Health 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 2015-07-29
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518580281 Kalin Ann Scarberry Peer Specialist 119 Neal Ave Apt 3, Dayton, OH 45405-4530 2020-05-28
1639702301 Kevin Bruce Kerley Peer Specialist 2628 Wheeler Ave, Dayton, OH 45406-1636 2020-02-20
1003449943 Alan Eugean Walder Peer Specialist 4145 Kammer Ave, Dayton, OH 45417-1126 2020-02-19
1821629833 William Brokschmidt Peer Specialist 425 Hunter Ave, Dayton, OH 45404-1515 2020-01-29
1194355529 Jazmen Evans Peer Specialist 3536 Golden Meadows Ct, Dayton, OH 45404-1437 2020-01-24
1528606506 Breanna Lenee' Mays Peer Specialist 5128 Derby Rd, Dayton, OH 45417-6229 2019-12-20
1205497237 Abbey C Gardner Peer Specialist 5 Pine Cone Rd Ste 102, Dayton, NV 89403-6309 2019-06-20
1215412929 Samantha Nicole Newman Peer Specialist 1618 Meriline Ave, Dayton, OH 45410-3332 2018-09-27
1356837215 Christopher Hanson Sykes Peer Specialist 639 Woodbourne Trl, Dayton, OH 45459-2903 2018-07-03
1972101582 Kelli Raney Peer Specialist 5 Pine Cone Rd Ste 102, Dayton, NV 89403-6309 2020-10-15
Find all providers in DAYTON

Competitor

Search similar providers

City DAYTON
Zip Code 45417

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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