Williams, Nina M

Williams, Nina M is an sole proprietor health care provider with primary practice located at 21317 S Jeffrey Dr , Matteson IL 60443-2467. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Williams, Nina M can be contacted via phone (363) 944-5897.

Contact Information

Primary practice address
21317 S Jeffrey Dr Matteson IL 60443-2467
Phone: (363) 944-5897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904008569 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X P006305 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149021613 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 149021613 Illinois

Profile Details

NPI number 1639359698
LBN Legal business name Williams, Nina M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2007
Last updated Jan 18th, 2024 - about 11 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639359698 NPPES
North Carolina MEDICAID 6005168

Popular Providers