Provider Demographics
NPI:1841594967
Name:WILLIAMS GEHRING, JILL J (LCSW)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:J
Last Name:WILLIAMS GEHRING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2798 ARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83211-5031
Mailing Address - Country:US
Mailing Address - Phone:208-226-1751
Mailing Address - Fax:208-226-1761
Practice Address - Street 1:2798 ARTHUR ST
Practice Address - Street 2:
Practice Address - City:AMERICAN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83211-5031
Practice Address - Country:US
Practice Address - Phone:208-226-1751
Practice Address - Fax:208-226-1761
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-293011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical