Provider Demographics
NPI:1215416458
Name:WILLIAMS, ABIGAIL ELYSE (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:ELYSE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1813
Mailing Address - Country:US
Mailing Address - Phone:513-633-2521
Mailing Address - Fax:513-964-9900
Practice Address - Street 1:55 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1813
Practice Address - Country:US
Practice Address - Phone:513-633-2521
Practice Address - Fax:513-964-9900
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1701232104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker