Provider Demographics
NPI:1821275223
Name:WILLIAMS, SADIE LOUISE (MSW)
Entity Type:Individual
Prefix:MS
First Name:SADIE
Middle Name:LOUISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:SADIE
Other - Middle Name:LOUISE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 862
Mailing Address - Street 2:
Mailing Address - City:CEDAREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:81413-0862
Mailing Address - Country:US
Mailing Address - Phone:970-234-8882
Mailing Address - Fax:
Practice Address - Street 1:1588 NW CEDAR AVE
Practice Address - Street 2:
Practice Address - City:CEDAREDGE
Practice Address - State:CO
Practice Address - Zip Code:81413-8310
Practice Address - Country:US
Practice Address - Phone:970-234-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7049101YA0400X
CO15211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)