Provider Demographics
NPI:1386080869
Name:WILLIAMS, ANGELA KAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:KAY
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 1:512 HIDDEN BROOK LN
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1449
Mailing Address - Country:US
Mailing Address - Phone:512-293-2649
Mailing Address - Fax:
Practice Address - Street 1:512 HIDDEN BROOK LN
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1449
Practice Address - Country:US
Practice Address - Phone:512-293-2649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical