Provider Demographics
NPI:1629177191
Name:WILLIAMS, HEATHER LEE (LCSW C, LICSW)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 CONNECTICUT AVE NW
Mailing Address - Street 2:#314
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2433
Mailing Address - Country:US
Mailing Address - Phone:202-250-9925
Mailing Address - Fax:
Practice Address - Street 1:1312 18TH ST NW
Practice Address - Street 2:#503
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1808
Practice Address - Country:US
Practice Address - Phone:202-250-9925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106421041C0700X
DCLC 3034991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical