Rebecca Jo Williams, LCSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1164045241
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1164045241
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rebecca Jo Williams
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2020
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.006596 | IL | Yes |
Practice location
4300 W Irving Park RdChicago, IL 60641-2825
Phone 773-653-2200
Mailing address
4845 W Eddy StChicago, IL 60641-3548
Phone 773-407-6852
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