Healthcare Provider Details

I. General information

NPI: 1104001387
Provider Name (Legal Business Name): EMILY A WILLIAMSON MSW,LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 JACKSON ST
ANDERSON IN
46016-4363
US

IV. Provider business mailing address

2210 JACKSON ST
ANDERSON IN
46016-4363
US

V. Phone/Fax

Practice location:
  • Phone: 765-914-9713
  • Fax: 765-646-8112
Mailing address:
  • Phone: 765-914-9713
  • Fax: 765-646-8112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34005966A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: