Provider Demographics
NPI:1376679555
Name:WILLIAMSON, BARBARA J (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10933 S EMERALD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-3123
Mailing Address - Country:US
Mailing Address - Phone:773-785-5519
Mailing Address - Fax:773-995-1217
Practice Address - Street 1:8941 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-6132
Practice Address - Country:US
Practice Address - Phone:773-785-5519
Practice Address - Fax:773-995-1217
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL189276OtherPSYCHOTHERAPIST
IL01635208OtherPSYCHOTHERAPIST
IL7029612OtherPSYCHOTHERAPIST