Provider Demographics
NPI:1568474591
Name:WILLIAMSON, REBECCA A (MSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MARIE ST
Mailing Address - Street 2:
Mailing Address - City:KIMPER
Mailing Address - State:KY
Mailing Address - Zip Code:41539-8300
Mailing Address - Country:US
Mailing Address - Phone:606-637-9184
Mailing Address - Fax:606-637-9184
Practice Address - Street 1:37 MARIE ST
Practice Address - Street 2:
Practice Address - City:KIMPER
Practice Address - State:KY
Practice Address - Zip Code:41539-8300
Practice Address - Country:US
Practice Address - Phone:606-637-9184
Practice Address - Fax:606-637-9184
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker