Williams, Madison D

Williams, Madison D is an individual health care provider with primary practice located at 414 Doctors Ct , Oshkosh WI 54901-2065. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Williams, Madison D can be contacted via phone (920) 303-8700.

Contact Information

Primary practice address
414 Doctors Ct Oshkosh WI 54901-2065
Phone: (920) 303-8700
Fax: (920) 303-5630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18791-130 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 131669-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18791 Wisconsin

Profile Details

NPI number 1396385787
LBN Legal business name Williams, Madison D
Credentials APSW, SAC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2020
Last updated Apr 19th, 2023 - about 2 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 1396385787 NPPES
Wisconsin MEDICAID 100224192

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