Individual
JODY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3320 N BUFFALO DR STE 207, LAS VEGAS, NV 89129-7411
(702) 720-2565
(702) 552-5163
Mailing address
PO BOX 753762, LAS VEGAS, NV 89136-3762
(702) 292-5210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4044-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509776
—
NV
05
—
100509777
—
NV
Enumeration date
03/05/2007
Last updated
09/28/2021
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