Provider Demographics
NPI:1184172538
Name:WILLIAMS, CARLA D (LISW-S)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:D
Other - Last Name:HOLSINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 EUCLID AVE
Mailing Address - Street 2:#819 #2158
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2681
Mailing Address - Country:US
Mailing Address - Phone:740-954-0750
Mailing Address - Fax:740-353-7900
Practice Address - Street 1:1735 27TH ST STE 302
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2679
Practice Address - Country:US
Practice Address - Phone:740-356-8425
Practice Address - Fax:740-353-8590
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1600809-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0200359Medicaid