Provider Demographics
NPI:1952491375
Name:WILLIAMS, ALEXIS RICHARDS (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:RICHARDS
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:MARIE
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3612 LINCOLN HIGHWAY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461
Mailing Address - Country:US
Mailing Address - Phone:708-692-0228
Mailing Address - Fax:708-747-6984
Practice Address - Street 1:3612 LINCOLN HIGHWAY
Practice Address - Street 2:SUITE 4
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461
Practice Address - Country:US
Practice Address - Phone:708-692-0228
Practice Address - Fax:708-747-6984
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical