Provider Demographics
NPI:1265952964
Name:WILLIAMS, EMILY BRAY (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:BRAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 NW 80TH ST # 330
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-4449
Mailing Address - Country:US
Mailing Address - Phone:206-594-4935
Mailing Address - Fax:206-593-5363
Practice Address - Street 1:8312 22ND AVENUE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117
Practice Address - Country:US
Practice Address - Phone:206-594-4935
Practice Address - Fax:206-593-5363
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW609090751041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALW60909075OtherLICSW LICENSE