MEDICARE: SHERI WILLIAMS LCSW PLLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1669226791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERI WILLIAMS LCSW PLLC

Provider Business Mailing Address
First Line	:	4568 S HIGHLAND DR STE 140
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-4234
Country	:	US
Telephone Number	:	801-505-3133
Fax Number	:	844-444-0676

Provider Business Practice Location Address
First Line	:	4568 S HIGHLAND DR STE 140
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-4234
Country	:	US
Telephone Number	:	801-505-3133
Fax Number	:	844-444-0676

Authorized Official
Title or Position	:	OWNER
Name	:	SHERI WILLIAMS
Credential	:	LCSW
Telephone Number	:	801-505-3133

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	04/22/2024

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