Provider Demographics
NPI:1356449417
Name:WILLIAMS, SARA S (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:SARA
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1943 E ZION WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-2867
Mailing Address - Country:US
Mailing Address - Phone:480-899-3193
Mailing Address - Fax:480-345-8282
Practice Address - Street 1:207 N GILBERT RD
Practice Address - Street 2:SUITE 107
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5812
Practice Address - Country:US
Practice Address - Phone:480-345-1313
Practice Address - Fax:480-345-8282
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-1035711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical