Williams, Roberta Lynn

Williams, Roberta Lynn is an individual health care provider with primary practice located at 1500 N Ritter Ave , Indianapolis IN 46219-3027. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Williams, Roberta Lynn can be contacted via phone (317) 355-2560.

Contact Information

Primary practice address
1500 N Ritter Ave Indianapolis IN 46219-3027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 34002499A Indiana

Profile Details

NPI number 1669508941
LBN Legal business name Williams, Roberta Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Dec 1st, 2020 - about 5 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 1669508941 NPPES
Indiana MEDICAID 100270530A

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