Provider Demographics
NPI:1528338068
Name:WILLIAMS, DAWN MONIQUE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MONIQUE
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 1:80 GENTRY WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-6328
Mailing Address - Country:US
Mailing Address - Phone:910-988-8870
Mailing Address - Fax:
Practice Address - Street 1:203 MARY LOU DR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3413
Practice Address - Country:US
Practice Address - Phone:912-369-7777
Practice Address - Fax:912-369-2030
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0065711041C0700X
GACSW0055961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical