Provider Demographics
NPI:1740798362
Name:WILLIAMS, CHONDA R (MSSA, LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:CHONDA
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSSA, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14972 CAROL DR
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-4457
Mailing Address - Country:US
Mailing Address - Phone:216-990-9785
Mailing Address - Fax:
Practice Address - Street 1:14972 CAROL DR
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-4457
Practice Address - Country:US
Practice Address - Phone:216-990-9785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical