Provider Demographics
NPI:1245485689
Name:WILLIAMS, JENNY (LCSW)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 SE 91ST AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-3749
Mailing Address - Country:US
Mailing Address - Phone:503-553-5941
Mailing Address - Fax:503-253-5989
Practice Address - Street 1:9300 SE 91ST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-3749
Practice Address - Country:US
Practice Address - Phone:503-553-5941
Practice Address - Fax:503-253-5989
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker