Provider Demographics
NPI:1831296896
Name:AMRA WILLIAMS, RASHIDA (LCSWR)
Entity Type:Individual
Prefix:
First Name:RASHIDA
Middle Name:
Last Name:AMRA WILLIAMS
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 W UTICA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2017
Mailing Address - Country:US
Mailing Address - Phone:716-884-7569
Mailing Address - Fax:
Practice Address - Street 1:153 W UTICA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2017
Practice Address - Country:US
Practice Address - Phone:716-884-7569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072503104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00030241501OtherUNIVERA
NY000506354005OtherCOMMUNITY BLUE
NY00030241501OtherUNIVERA