Provider Demographics
NPI:1881897197
Name:WILLIAMS, DENNIS E (MSW, ACSW)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-4424
Mailing Address - Country:US
Mailing Address - Phone:307-856-7725
Mailing Address - Fax:
Practice Address - Street 1:607 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-4424
Practice Address - Country:US
Practice Address - Phone:307-856-7725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY0045101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYLCSW 0045OtherSTATE LICENSE NUMBER