Provider Demographics
NPI:1497993752
Name:WILLIAMS, KERI M (LCSW)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:M
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 1:6845 ELM ST STE 710
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3851
Mailing Address - Country:US
Mailing Address - Phone:703-848-8515
Mailing Address - Fax:703-848-8515
Practice Address - Street 1:6845 ELM ST STE 710
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3851
Practice Address - Country:US
Practice Address - Phone:703-848-8515
Practice Address - Fax:703-848-8515
Is Sole Proprietor?:No
Enumeration Date:2009-01-25
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040069261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical