Provider Demographics
NPI:1588909246
Name:WILLIAMSON, DEBORAH L (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DEBY
Other - Middle Name:
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:967 LONE DEER DR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9285
Mailing Address - Country:US
Mailing Address - Phone:719-337-4294
Mailing Address - Fax:855-337-9079
Practice Address - Street 1:967 LONE DEER DR
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9285
Practice Address - Country:US
Practice Address - Phone:719-337-4294
Practice Address - Fax:855-337-9079
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099236111041C0700X
CO009236111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO352489549OtherTRICARE CERTIFICATION
CO36830089Medicaid