Provider Demographics
NPI:1720541477
Name:WILLIAMS, NAKEISHA MONE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:NAKEISHA
Middle Name:MONE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 FARLEY CT N
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2814
Mailing Address - Country:US
Mailing Address - Phone:443-822-3275
Mailing Address - Fax:
Practice Address - Street 1:1046 S NORTHPOINT RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3307
Practice Address - Country:US
Practice Address - Phone:410-282-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD212691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical