Provider Demographics
NPI:1598479081
Name:WILLIAMS, CARIDAD
Entity Type:Individual
Prefix:
First Name:CARIDAD
Middle Name:
Last Name:WILLIAMS
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 1:1866 IBIS BAY CT
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-9118
Mailing Address - Country:US
Mailing Address - Phone:786-519-6369
Mailing Address - Fax:
Practice Address - Street 1:846 NE 54TH TERRACE
Practice Address - Street 2:
Practice Address - City:COLEMAN
Practice Address - State:FL
Practice Address - Zip Code:33521
Practice Address - Country:US
Practice Address - Phone:352-689-5316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW162301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical