Provider Demographics
NPI:1922720143
Name:WAKEFIELD-WILLIAMS, DENISE W
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:W
Last Name:WAKEFIELD-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 1:2306 HARTFORD ST SE APT 304
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7965
Mailing Address - Country:US
Mailing Address - Phone:202-465-1799
Mailing Address - Fax:
Practice Address - Street 1:2306 HARTFORD ST SE APT 304
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7965
Practice Address - Country:US
Practice Address - Phone:202-465-1799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health