Provider Demographics
NPI:1649078833
Name:SAFETY NET DATA ADVISORS' INCORPORATION
Entity type:Organization
Organization Name:SAFETY NET DATA ADVISORS' INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:202-754-5959
Mailing Address - Street 1:4486 OAKDALE CRESCENT CT APT 4111
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6753
Mailing Address - Country:US
Mailing Address - Phone:703-559-5487
Mailing Address - Fax:
Practice Address - Street 1:4486 OAKDALE CRESCENT CT APT 4111
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6753
Practice Address - Country:US
Practice Address - Phone:703-559-5487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No305S00000XManaged Care OrganizationsPoint of Service