Provider Demographics
NPI:1104975564
Name:WILLIAMS, ANGELA PAULINE (LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:PAULINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 REEDY VIEW DR.
Mailing Address - Street 2:#550
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601
Mailing Address - Country:US
Mailing Address - Phone:913-593-3682
Mailing Address - Fax:
Practice Address - Street 1:101 REEDY VIEW DR.
Practice Address - Street 2:#550
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601
Practice Address - Country:US
Practice Address - Phone:913-593-3682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker