Provider Demographics
NPI:1336463173
Name:SIMS, WILLIAM ALVIS JR (LCSW, MSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALVIS
Last Name:SIMS
Suffix:JR
Gender:M
Credentials:LCSW, MSW
Other - Prefix:
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Mailing Address - Street 1:1542 WICKFORD PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4465
Mailing Address - Country:US
Mailing Address - Phone:704-340-3788
Mailing Address - Fax:704-543-7959
Practice Address - Street 1:8029 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4547
Practice Address - Country:US
Practice Address - Phone:704-336-2669
Practice Address - Fax:704-336-6547
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCC0000551041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health