Williams, Mary Katherine
Williams, Mary Katherine is an sole proprietor health care provider with primary practice located at 2233 N Green Acres Rd , Fayetteville AR 72703-2833. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Williams, Mary Katherine can be contacted via phone (479) 466-9121.Contact Information
Primary practice address
2233 N Green Acres Rd
Fayetteville AR 72703-2833
Phone: (479) 466-9121
Fax: (479) 974-2002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1752C | Arkansas |
Profile Details
| NPI number | 1376501593 |
|---|---|
| LBN Legal business name | Williams, Mary Katherine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 24th, 2023 - about last year |
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 | 1376501593 | NPPES |
| Vermont | Other | 089.0134618TELE | SOCIAL WORK LICENSE |
| Vermont | Other | 1752C | SOCIAL WORK LICENSE |
| Vermont | Other | 61413647 | SOCIAL WORK LICENSE |
| Vermont | Other | 5X496 | SOCIAL WORK LICENSE |
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