Elissa Williams
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1013482736
StatusActive
Last updated in NPPESApr 18, 2023
Details
- NPI
- 1013482736
- Entity type
- Individual (NPI-1)
- Name
- Elissa Williams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2018
- Certification date
- Apr 18, 2023
- Last updated
- Apr 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149025522 | IL | Yes |
| 104100000X | Social Worker | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3600 W Fullerton AveChicago, IL 60647-2319
Phone 773-782-2800
Mailing address
3600 W Fullerton AveChicago, IL 60647-2319
Phone 773-782-2800
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