Individual
VICKI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65 OLD SPRINGFIELD RD, LEBANON, KY 40033-9185
(270) 692-2509
(270) 692-2592
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
621
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386663
ANTHEM
KY
01
—
11574943
CAQH
—
05
—
30605018
—
KY
01
—
373347
TRICARE
KY
Enumeration date
06/09/2006
Last updated
07/08/2007
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