Individual
MS. NINA M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21317 S JEFFREY DR, MATTESON, IL 60443-2467
(363) 944-5897
Mailing address
203 WYSTERIA DR, OLYMPIA FIELDS, IL 60461-1202
(336) 944-5897
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149021613
IL
1041C0700X
Clinical Social Worker
0904008569
VA
1041C0700X
Clinical Social Worker
149021613
IL
1041C0700X
Clinical Social Worker
P006305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005168
—
NC
Enumeration date
11/07/2007
Last updated
01/18/2024
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