Provider Demographics
NPI:1861661837
Name:WILLIAMS-CONNOLLY, DEIRDRE A (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DEIRDRE
Middle Name:A
Last Name:WILLIAMS-CONNOLLY
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 1:402 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45217-1324
Mailing Address - Country:US
Mailing Address - Phone:513-238-0650
Mailing Address - Fax:
Practice Address - Street 1:402 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45217-1324
Practice Address - Country:US
Practice Address - Phone:513-238-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0045171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical