=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093098931
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIE WILLIAMS LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2011
-----------------------------------------------------
Last Update Date | 10/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 406 RIDGELINE RD.
-----------------------------------------------------
City | SPRINGFIELD
-----------------------------------------------------
State | U.S.
-----------------------------------------------------
Zip | 49037
-----------------------------------------------------
Country | UM
-----------------------------------------------------
Telephone | 269-964-6818
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 406 RIDGELINE RD
-----------------------------------------------------
City | SPRINGFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49037-8305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-245-7165
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 6801085416
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------