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
Phone: (410) 453-9553
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023207966 | NPPES |
Maryland | MEDICAID | 413756600 |
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