Provider Demographics
NPI:1942399811
Name:WILLIAMS, MARY BETH E (PHD, LCSW, CTS)
Entity Type:Individual
Prefix:DR
First Name:MARY BETH
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD, LCSW, CTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 N 3RD ST
Mailing Address - Street 2:#14
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3404
Mailing Address - Country:US
Mailing Address - Phone:540-341-7339
Mailing Address - Fax:540-341-7339
Practice Address - Street 1:9 N 3RD ST
Practice Address - Street 2:#14
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3404
Practice Address - Country:US
Practice Address - Phone:540-341-7339
Practice Address - Fax:540-341-7339
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040002771041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA062644OtherBLUE CROSS/BLUE SHIELD