Provider Demographics
NPI:1306021399
Name:LINDA J WILLIAMS LCSW PC
Entity Type:Organization
Organization Name:LINDA J WILLIAMS LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-248-5797
Mailing Address - Street 1:1925 GRAND AVE
Mailing Address - Street 2:SUITE 116A
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2764
Mailing Address - Country:US
Mailing Address - Phone:406-248-5797
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:1925 GRAND AVE STE 107
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2762
Practice Address - Country:US
Practice Address - Phone:406-248-5797
Practice Address - Fax:406-294-0967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3LCSW104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M000005234Medicare PIN