Individual
MRS. SUSAN LACEY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LICSW
Contact information
Practice address
466 MAIN STREET, SUITE 3, GREENFIELD, MA 01301
(413) 774-5012
(413) 339-0148
Mailing address
PO BOX 1002, CHARLEMONT, MA 01339-1002
(413) 774-5012
(413) 339-0148
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LICSW1023496
MA
163W00000X
Registered Nurse
144039
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32153
BMC HEALTHNET
MA
01
—
P08203
BCBS MA
MA
Enumeration date
06/20/2006
Last updated
10/19/2009
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