Healthcare Provider Details

I. General information

NPI: 1023940624
Provider Name (Legal Business Name): JENNIFER FOX WILLLIAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LIBERTY SQ # 2544
BOSTON MA
02109-5800
US

IV. Provider business mailing address

6 LIBERTY SQ # 2544
BOSTON MA
02109-5800
US

V. Phone/Fax

Practice location:
  • Phone: 617-286-4935
  • Fax:
Mailing address:
  • Phone: 617-286-4935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW230163
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: