Provider Demographics
NPI:1740383694
Name:WILLIAMS-GRAY, SYBIL YVETTE (MSW, LCSW, LCADC)
Entity type:Individual
Prefix:MRS
First Name:SYBIL
Middle Name:YVETTE
Last Name:WILLIAMS-GRAY
Suffix:
Gender:F
Credentials:MSW, LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 RARITAN AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2758
Mailing Address - Country:US
Mailing Address - Phone:732-339-1918
Mailing Address - Fax:732-339-1918
Practice Address - Street 1:324 RARITAN AVE.
Practice Address - Street 2:SUITE 115
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2758
Practice Address - Country:US
Practice Address - Phone:732-339-1918
Practice Address - Fax:732-339-1918
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00105000101YA0400X
NJ44SC046691001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical