Provider Demographics
NPI:1497949242
Name:WILLIAMS, STEPHEN CHARLES (LCSW-C)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:CHARLES
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 W PATRICK ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6933
Mailing Address - Country:US
Mailing Address - Phone:301-662-3223
Mailing Address - Fax:301-662-7921
Practice Address - Street 1:219 W PATRICK ST
Practice Address - Street 2:SUITE A
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6933
Practice Address - Country:US
Practice Address - Phone:301-662-3223
Practice Address - Fax:301-662-7921
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical