Provider Demographics
NPI:1386031128
Name:WILLIAMS, MEGAN (LCSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:333 COMMERCE DR STE 600
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-3598
Mailing Address - Country:US
Mailing Address - Phone:779-356-4095
Mailing Address - Fax:779-356-4121
Practice Address - Street 1:333 COMMERCE DR STE 600
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3598
Practice Address - Country:US
Practice Address - Phone:779-356-4095
Practice Address - Fax:779-356-4121
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490227461041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical