Provider Demographics
NPI:1396484622
Name:WILLIAMS, ROBYN NICHOLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:NICHOLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9812 WHITNEY DRIVE
Mailing Address - Street 2:APT 424
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237
Mailing Address - Country:US
Mailing Address - Phone:410-925-7942
Mailing Address - Fax:
Practice Address - Street 1:9812 WHITNEY DR APT 424
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-5038
Practice Address - Country:US
Practice Address - Phone:410-925-7942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26648104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker