MEDICARE: DR. CELIA WILLIAMSON PHD., MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	S.0031113	OH
2	1041C0700X	Clinical Social Worker	1.2304765-SUPV	OH

General Provider Information

NPI Number	:	1306513171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CELIA WILLIAMSON PHD., MSW

Provider Business Mailing Address
First Line	:	2517 BEXFORD PL
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43606-2415
Country	:	US
Telephone Number	:	419-215-8853
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 N SUMMIT ST # 12
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1018
Country	:	US
Telephone Number	:	419-855-2299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2021
Last Update Date	:	05/31/2025

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