Provider Demographics
NPI:1912726050
Name:WILLIAMS, SABRI ANDREYAH (CSW)
Entity type:Individual
Prefix:
First Name:SABRI
Middle Name:ANDREYAH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 LINDENHURST DR APT 13106
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1352
Mailing Address - Country:US
Mailing Address - Phone:859-559-7095
Mailing Address - Fax:
Practice Address - Street 1:1028 N COLLEGE ST STE 8A
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-2227
Practice Address - Country:US
Practice Address - Phone:859-475-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY259472104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker