Provider Demographics
NPI:1336394469
Name:WILLIAMS, JAIME LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:LYNN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW-CC
Mailing Address - Street 1:324 GANNETT DRIVE
Mailing Address - Street 2:STE. 300
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106
Mailing Address - Country:US
Mailing Address - Phone:207-771-5700
Mailing Address - Fax:207-771-5750
Practice Address - Street 1:324 GANNETT DRIVE
Practice Address - Street 2:STE. 300
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-771-5700
Practice Address - Fax:207-771-5750
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC124261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical