Healthcare Provider Details

I. General information

NPI: 1083007702
Provider Name (Legal Business Name): KATHERINE M WILLIAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 N GLEBE RD STE 525
ARLINGTON VA
22201-5792
US

IV. Provider business mailing address

1005 N GLEBE RD STE 525
ARLINGTON VA
22201-5792
US

V. Phone/Fax

Practice location:
  • Phone: 888-354-3654
  • Fax: 253-254-5911
Mailing address:
  • Phone: 804-207-6737
  • Fax: 804-447-3352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number121581
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020154
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: