Provider Demographics
NPI:1891332037
Name:MCWILLIAMS, AMY BRAUN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BRAUN
Last Name:MCWILLIAMS
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 1:2940 JOHNSON FERRY RD
Mailing Address - Street 2:STE B-127
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8361
Mailing Address - Country:US
Mailing Address - Phone:678-637-7166
Mailing Address - Fax:
Practice Address - Street 1:2940 JOHNSON FERRY RD STE B-127
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8361
Practice Address - Country:US
Practice Address - Phone:404-977-2664
Practice Address - Fax:770-414-0804
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0069811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical