Doctor Name: | CAROL LEE WILLIAMS |
NPI Number: | 1649560640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 081962-1 |
Business Practice Address: | 2023 Route 9 Round Lake, NY - 121511701 |
Business Phone Number: | 5184063119 |
Business Fax Number: | 5184063119 |
Mailing Address: | 2023 Route 9, ROUND LAKE |
State: | NY |
Postal Code: | 121511701 |
Phone Number: | 5184063119 |
Fax Number: | 5184063119 |
NPI Enumeration Date: | 04/11/2011 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 081962-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |