Doctor Name: | JOSEPH A WILLIAMS |
NPI Number: | 1053393256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 1898 |
Business Practice Address: | 209 E Sunset Dr Mayfield, KY - 420663265 |
Business Phone Number: | 2702475667 |
Business Fax Number: | 8887069549 |
Mailing Address: | 209 E Sunset Dr, MAYFIELD |
State: | KY |
Postal Code: | 420663265 |
Phone Number: | 2702475667 |
Fax Number: | 8887069549 |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |