Healthcare Provider Details

I. General information

NPI: 1265571566
Provider Name (Legal Business Name): ANNE STUCKEY WILLIAMS LCSW-BACS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 NORTH BLVD
BATON ROUGE LA
70806-3825
US

IV. Provider business mailing address

7620 GOODWOOD BLVD
BATON ROUGE LA
70806-7622
US

V. Phone/Fax

Practice location:
  • Phone: 225-381-6696
  • Fax: 225-381-2579
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6377
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: