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Deactivated NPI 1407187750 Deactivated / Inactive NPI Male Practitioner

Dr. David C Williams , PhD

Counselor - Professional • Frederick, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2010
NPI Deactivation Date September 08, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. David Williams, PhD was a registered Counselor - Professional practicing in Frederick, MD. Throughout an active medical career spanning 10 years, Dr. Williams provided care at the practice location at 5300 WESTVIEW DR until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

5300 Westview Dr

Frederick, MD 217038339

Telephone 3017330330
Fax 3017334038
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
200 Specialists

Practicing in Frederick, MD (4138 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MD LC0540

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jamal Fawaz , MD

Psychiatry & Neurology - Psychiatry

NPI 1003881335

Doctor of Medicine (M.D.)

Noah Stevens , LCPC

Counselor - Professional

NPI 1013209154

Licensed Clinical Professional Counselor

Georgette Hughes , LCPC

Counselor - Professional

NPI 1013310622

Licensed Clinical Professional Counselor

Vicki Churchey , LCSW

Social Worker - Clinical

NPI 1023105483

Licensed Clinical Social Worker

NPI 1043842693

Licensed Master Social Worker

Jade Brenneman , LCSW-C

Social Worker - Clinical

NPI 1053080135

Licensed Clinical Social Worker - Certified

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 08, 2020

Record deactivated on September 08, 2020

NPI Profile Active June 29, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 29, 2012

Registered at 5300 WESTVIEW DR, FREDERICK, MD 217038339 (Tel: 3017330330)

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Updated Business Mailing Address June 29, 2012

Registered at 13218 BROOKLANE DR, HAGERSTOWN, MD 217421435 (Tel: 3017330330)

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Provider Name / Credentials Updated June 29, 2012

Recorded as DAVID WILLIAMS, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2012

Counselor (License #LC0540 in MD)

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Initial NPI Registration & Enumeration January 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407187750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2010
Last Update: June 29, 2012
Deactivation Date: September 08, 2020

Mailing Address

13218 Brooklane Dr

Hagerstown, MD 217421435

Phone: 3017330330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.