Doctor Name: | KATHERINE P WILLIAMS |
NPI Number: | 1164797387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 2011035221 |
Business Practice Address: | 2634 Highway 109 Suite E Wildwood, MO - 630401160 |
Business Phone Number: | 3148022590 |
Business Fax Number: | |
Mailing Address: | 2634 Highway 109, WILDWOOD |
State: | MO |
Postal Code: | 630401160 |
Phone Number: | 3143716500 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2012 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2011035221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |