Provider Demographics
NPI:1811652928
Name:WILLIAMS-CARTER, BETH ANNE (LMSW)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:WILLIAMS-CARTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 COUNTY ROUTE 42
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-3270
Mailing Address - Country:US
Mailing Address - Phone:315-941-0115
Mailing Address - Fax:
Practice Address - Street 1:626 COUNTY ROUTE 42
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-3270
Practice Address - Country:US
Practice Address - Phone:315-941-0115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062888104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker