Provider Demographics
NPI:1700140472
Name:WILLIAMS, ROBERT DEAN (MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DEAN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 INDIAN HILLS DR
Mailing Address - Street 2:PO BOX 250
Mailing Address - City:MACY
Mailing Address - State:NE
Mailing Address - Zip Code:68039-3023
Mailing Address - Country:US
Mailing Address - Phone:402-837-5381
Mailing Address - Fax:
Practice Address - Street 1:100 INDIAN HILLS DR
Practice Address - Street 2:
Practice Address - City:MACY
Practice Address - State:NE
Practice Address - Zip Code:68039-3023
Practice Address - Country:US
Practice Address - Phone:402-837-5381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15951041C0700X
IA0003971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical