Williams, Levern Clay

Williams, Levern Clay is an individual health care provider with primary practice located at 27 Mellor Ave , Catonsville MD 21228-5106. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Williams, Levern Clay can be contacted via phone (410) 453-9553.

Contact Information

Primary practice address
27 Mellor Ave Catonsville MD 21228-5106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2406 Maryland

Profile Details

NPI number 1023207966
LBN Legal business name Williams, Levern Clay
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Oct 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023207966 NPPES
Maryland MEDICAID 413756600

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