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NPI Code Detail

MEDICARE: DONELLA ELAINE WILLIAMS LCSW

MEDICARE: DONELLA ELAINE WILLIAMS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker4600KY
21041C0700XClinical Social Worker3158KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000357960OTHERANTHEM BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386748390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONELLA ELAINE WILLIAMS LCSW
Provider Business Mailing Address
First Line : PO BOX 790
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0790
Country : US
Telephone Number : 606-329-8588
Fax Number : 606-329-8195
Provider Business Practice Location Address
First Line : 201 22ND ST
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7803
Country : US
Telephone Number : 606-324-1141
Fax Number : 606-329-8195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2006
Last Update Date : 07/19/2016

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