Provider Demographics
NPI:1750511663
Name:WILLEMS-AKERS, MARY L (MSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:L
Last Name:WILLEMS-AKERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46806-4177
Mailing Address - Country:US
Mailing Address - Phone:260-744-1144
Mailing Address - Fax:260-745-0978
Practice Address - Street 1:525 OXFORD ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46806-4177
Practice Address - Country:US
Practice Address - Phone:260-744-1144
Practice Address - Fax:260-745-0978
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker