Provider Demographics
NPI:1831775550
Name:WILLIAMS, RICHARD V (CDCA)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:V
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 EUCLID AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2229
Mailing Address - Country:US
Mailing Address - Phone:216-714-3545
Mailing Address - Fax:216-714-3545
Practice Address - Street 1:3740 EUCLID AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2229
Practice Address - Country:US
Practice Address - Phone:216-714-3545
Practice Address - Fax:216-714-3545
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.175183101YA0400X
171M00000X
OHCDCA.179485101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator