Provider Demographics
NPI:1710261888
Name:MCWILLIAMS, WANDA RENEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:WANDA
Middle Name:RENEE
Last Name:MCWILLIAMS
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 1:140 WAYAH CREEK DR APT B
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-4329
Mailing Address - Country:US
Mailing Address - Phone:980-318-7046
Mailing Address - Fax:
Practice Address - Street 1:140 WAYAH CREEK DR APT B
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-4329
Practice Address - Country:US
Practice Address - Phone:980-318-7046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0083361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical