Provider Demographics
NPI:1124329917
Name:WILLIAMS, SEANNA SIOBHAN (LCSW)
Entity type:Individual
Prefix:
First Name:SEANNA
Middle Name:SIOBHAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 N OREM BLVD
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-6601
Mailing Address - Country:US
Mailing Address - Phone:801-691-0672
Mailing Address - Fax:801-691-0673
Practice Address - Street 1:234 NORTH OREM BLVD
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-6601
Practice Address - Country:US
Practice Address - Phone:801-691-0672
Practice Address - Fax:801-691-0673
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5805910-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical