Provider Demographics
NPI:1902216567
Name:WILLIAMS, PATRICK AARON (LMSW)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:AARON
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 1:211 N SHIAWASSEE ST STE A
Mailing Address - Street 2:
Mailing Address - City:CORUNNA
Mailing Address - State:MI
Mailing Address - Zip Code:48817-1444
Mailing Address - Country:US
Mailing Address - Phone:989-928-3566
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 123
Practice Address - Street 2:
Practice Address - City:CORUNNA
Practice Address - State:MI
Practice Address - Zip Code:48817-0123
Practice Address - Country:US
Practice Address - Phone:810-422-9406
Practice Address - Fax:810-410-4678
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MI68011000041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)