Individual
CHARU STOKES-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, BCD, PHD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW116783
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
172524
TRICARE
MA
01
—
703136
TUFTS
MA
01
—
M18633
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/09/2008
Last updated
08/13/2024
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