Provider Demographics
NPI:1841528965
Name:WILLIAMS, LA BARBARA MARIA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LA BARBARA
Middle Name:MARIA
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 1:733 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-1740
Mailing Address - Country:US
Mailing Address - Phone:757-722-9961
Mailing Address - Fax:757-315-3928
Practice Address - Street 1:100 EMANCIPATION DR
Practice Address - Street 2:BLDG. 138
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667-0001
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:757-315-3928
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000007853104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker