MEDICARE: ELIZABETH A WILLIAMS LCSW

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982030789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A WILLIAMS LCSW

Provider Business Mailing Address
First Line	:	2004 VALPARAISO ST
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-3138
Country	:	US
Telephone Number	:	219-477-5646
Fax Number	:	219-728-4765

Provider Business Practice Location Address
First Line	:	1401 KINGS HWY
Second Line	:
City	:	WINONA LAKE
State	:	IN
Zip	:	46590-1520
Country	:	US
Telephone Number	:	574-527-6825
Fax Number	:

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

Provider Enumeration Date	:	09/25/2013
Last Update Date	:	03/18/2025

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