Shanna Michelle Williams, LCSW
Social Worker, Clinical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1114684875
StatusActive
Last updated in NPPESNov 17, 2021
Details
- NPI
- 1114684875
- Entity type
- Individual (NPI-1)
- Name
- Shanna Michelle Williams
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2021
- Certification date
- Nov 17, 2021
- Last updated
- Nov 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW017864 | PA | Yes |
Practice location
1410 N 31st St # 1776Philadelphia, PA 19121-3870
Phone 267-209-3323
Mailing address
1410 N 31st StPhiladelphia, PA 19121-3870
Phone 267-209-3323
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