Provider Demographics
NPI:1598750143
Name:WILLIAMSON, VALERIE CHERISE (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:CHERISE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21242 SMOKEHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5315
Mailing Address - Country:US
Mailing Address - Phone:703-340-6741
Mailing Address - Fax:703-443-8643
Practice Address - Street 1:HEALTHWORKS FOR NORTHERN VIRGINIA
Practice Address - Street 2:1141 ELDEN STREET, SUITE 300
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-2017
Practice Address - Country:US
Practice Address - Phone:703-443-2000
Practice Address - Fax:703-435-6752
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046003207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080156030OtherRR MEDICARE
VA1598750143Medicaid
VA05606462Medicaid
E38916Medicare UPIN
VA080007292Medicare PIN