Provider Demographics
NPI:1326434697
Name:WILLIAMS, KAROLINA WRIGHT (LICSW, MDIV)
Entity Type:Individual
Prefix:MS
First Name:KAROLINA
Middle Name:WRIGHT
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LICSW, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 S DAWSON ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2100
Mailing Address - Country:US
Mailing Address - Phone:512-789-3709
Mailing Address - Fax:
Practice Address - Street 1:4819 S OREGON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1449
Practice Address - Country:US
Practice Address - Phone:512-789-3709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603 481 8791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical