Provider Demographics
NPI:1891560397
Name:WILLIAMS, RASHAD GEORGE (LMSW)
Entity Type:Individual
Prefix:
First Name:RASHAD
Middle Name:GEORGE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BARNARD LN STE 311
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2495
Mailing Address - Country:US
Mailing Address - Phone:141-321-8185
Mailing Address - Fax:
Practice Address - Street 1:3 BARNARD LN STE 311
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2495
Practice Address - Country:US
Practice Address - Phone:141-321-8185
Practice Address - Fax:860-650-0567
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health