=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437284866
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONALD STEVEN WILLIAMS L.M.S.W.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1400 TOWNSEND DR HAMAR HOUSE, MTU
-----------------------------------------------------
City | HOUGHTON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49931-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-487-2538
-----------------------------------------------------
Fax | 906-487-3421
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1400 TOWNSEND DR HAMAR HOUSE, MTU
-----------------------------------------------------
City | HOUGHTON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49931-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-487-2538
-----------------------------------------------------
Fax | 906-487-3421
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 6801018270
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------