Healthcare Provider Details

I. General information

NPI: 1861234510
Provider Name (Legal Business Name): RENEE KATHLEEN WILLIAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1948 N HAMILTON PL
CHANDLER AZ
85225-8425
US

IV. Provider business mailing address

1948 N HAMILTON PL
CHANDLER AZ
85225-8425
US

V. Phone/Fax

Practice location:
  • Phone: 602-301-4771
  • Fax: 480-452-0891
Mailing address:
  • Phone: 602-301-4771
  • Fax: 480-452-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-22597
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: