Provider Demographics
NPI:1578227237
Name:WILLIAMS, SHARRON ULESKIA (LMSW)
Entity Type:Individual
Prefix:
First Name:SHARRON
Middle Name:ULESKIA
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 1:466 LAUREL OAK DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-9362
Mailing Address - Country:US
Mailing Address - Phone:601-853-1164
Mailing Address - Fax:
Practice Address - Street 1:466 LAUREL OAK DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-9362
Practice Address - Country:US
Practice Address - Phone:601-853-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM5333104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker