Provider Demographics
NPI:1487660361
Name:WILLIAMS, CHERYL L (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:WILLIAMS
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 1:311 GREEN ST NW STE 209A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3356
Mailing Address - Country:US
Mailing Address - Phone:770-503-7778
Mailing Address - Fax:770-995-1959
Practice Address - Street 1:311 GREEN ST NW STE 209A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3356
Practice Address - Country:US
Practice Address - Phone:770-503-7778
Practice Address - Fax:770-995-1959
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0004391041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4634056OtherAETNA IND. ID NUMBER
GAPVPB50614OtherAPS ID NUMBER
GA02992700OtherMAGELLAN ID NUMBER
GA800011116OtherRAILROAD MCR IND NUM.
GA000439Medicare UPIN