Healthcare Provider Details

I. General information

NPI: 1548549306
Provider Name (Legal Business Name): RENEE D. WILLIAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENEE D. BRUNELLE LCSW

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 US ROUTE 1 STE 26
FREEPORT ME
04032-7031
US

IV. Provider business mailing address

541 US ROUTE 1
FREEPORT ME
04032-7027
US

V. Phone/Fax

Practice location:
  • Phone: 207-232-8533
  • Fax:
Mailing address:
  • Phone: 207-232-8533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC4526
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: