Williams, Michelle Marie

Williams, Michelle Marie is an individual health care provider with primary practice located at 589 Hospital Dr Suite E, Warren PA 16365-4875. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Williams, Michelle Marie can be contacted via phone (814) 723-1330.

Contact Information

Primary practice address
589 Hospital Dr Suite E Warren PA 16365-4875
Phone: (814) 723-1330
Fax: (814) 723-5744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW017949 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 066688 New York

Profile Details

NPI number 1447454848
LBN Legal business name Williams, Michelle Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Mar 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447454848 NPPES
New York Other 066688 LICENSE

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