Provider Demographics
NPI:1518568146
Name:WILLIAMS, CHANIEKA DOMINIQUE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CHANIEKA
Middle Name:DOMINIQUE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 FONDREN RD APT 1210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4034
Mailing Address - Country:US
Mailing Address - Phone:206-291-7877
Mailing Address - Fax:
Practice Address - Street 1:12101 FONDREN RD APT 1210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4034
Practice Address - Country:US
Practice Address - Phone:206-291-7877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No104100000XBehavioral Health & Social Service ProvidersSocial Worker