Provider Demographics
NPI:1215023098
Name:WILLIAMS, SHEILA (LMSW)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6182 METCALF ROAD
Mailing Address - Street 2:
Mailing Address - City:GRANT TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48032
Mailing Address - Country:US
Mailing Address - Phone:810-357-5823
Mailing Address - Fax:
Practice Address - Street 1:217 E SANILAC AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48032
Practice Address - Country:US
Practice Address - Phone:810-583-0463
Practice Address - Fax:810-648-0315
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010866501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical