Provider Demographics
NPI:1396976312
Name:WILLIAMS, REBECCA TOLME (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:TOLME
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:TOLME
Other - Last Name:DAVIDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3085 BROAD ST
Mailing Address - Street 2:SUITE M
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37408-3084
Mailing Address - Country:US
Mailing Address - Phone:423-870-7001
Mailing Address - Fax:
Practice Address - Street 1:3085 BROAD ST
Practice Address - Street 2:SUITE M
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-3084
Practice Address - Country:US
Practice Address - Phone:423-870-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical