Healthcare Provider Details

I. General information

NPI: 1457732075
Provider Name (Legal Business Name): ELIZABETH SHAW WILLIAMS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NEWBURG AVE STE 201
CATONSVILLE MD
21228-5108
US

IV. Provider business mailing address

1 NEWBURG AVE STE 201
CATONSVILLE MD
21228-5108
US

V. Phone/Fax

Practice location:
  • Phone: 410-231-3811
  • Fax: 410-461-1161
Mailing address:
  • Phone: 410-231-3811
  • Fax: 410-869-7244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20882
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20882
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: