Healthcare Provider Details

I. General information

NPI: 1982030789
Provider Name (Legal Business Name): ELIZABETH A WILLIAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 KINGS HWY
WINONA LAKE IN
46590-1520
US

IV. Provider business mailing address

2004 VALPARAISO ST
VALPARAISO IN
46383-3138
US

V. Phone/Fax

Practice location:
  • Phone: 574-527-6825
  • Fax:
Mailing address:
  • Phone: 219-477-5646
  • Fax: 219-728-4765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: