Provider Demographics
NPI:1912024746
Name:ADAMS, WILLIAMS MARK (MSSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAMS
Middle Name:MARK
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WILCREST DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2752
Mailing Address - Country:US
Mailing Address - Phone:713-796-3197
Mailing Address - Fax:
Practice Address - Street 1:2500 WILCREST DR
Practice Address - Street 2:SUITE 420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2752
Practice Address - Country:US
Practice Address - Phone:713-796-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX089591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical