Provider Demographics
NPI:1790433688
Name:WILLIAMS, SYDNEY (LMSW)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:FRIENDSHIP
Mailing Address - State:MD
Mailing Address - Zip Code:20758-9750
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6831 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:FRIENDSHIP
Practice Address - State:MD
Practice Address - Zip Code:20758-9750
Practice Address - Country:US
Practice Address - Phone:443-852-4985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25057104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty