Provider Demographics
NPI:1881033835
Name:WILLIAMS, LORA SUE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORA
Middle Name:SUE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LORA
Other - Middle Name:WILKINSON
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:176 CLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5539
Mailing Address - Country:US
Mailing Address - Phone:919-550-1921
Mailing Address - Fax:
Practice Address - Street 1:501 GATEWAY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2277
Practice Address - Country:US
Practice Address - Phone:919-744-4461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0082511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical