Provider Demographics
NPI:1316495708
Name:WILLIAMS, ELIZABETH HARPER (LMSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:HARPER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:HARPER
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:540 ATLANTIC AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2619
Mailing Address - Country:US
Mailing Address - Phone:718-222-6300
Mailing Address - Fax:718-488-1952
Practice Address - Street 1:540 ATLANTIC AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2619
Practice Address - Country:US
Practice Address - Phone:718-222-6300
Practice Address - Fax:718-488-1952
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063033-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health