Basic Information
Provider Information
NPI: 1205065315
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WILLIAMS-JOSEPH
FirstName: SONYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PMHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 209 W FAYETTE ST
Address2: RM 204
City: BALTIMORE
State: MD
PostalCode: 212013403
CountryCode: US
TelephoneNumber: 4106057000
FaxNumber:  
Practice Location
Address1: 8901 WISCONSIN AVE
Address2: OUTPATIENT BEHAVIORAL HEALTH, AMERICA BLDG, 6TH FL
City: BETHESDA
State: MD
PostalCode: 208890004
CountryCode: US
TelephoneNumber: 3012950500
FaxNumber: 3012956720
Other Information
ProviderEnumerationDate: 07/09/2009
LastUpdateDate: 03/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XR132780MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


Home