Basic Information
Provider Information
NPI: 1801389085
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WILLIAMS
FirstName: CURTIS
MiddleName:  
NamePrefix:  
NameSuffix: II
Credential: MSW, LSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1293 COPLEY RD
Address2:  
City: AKRON
State: OH
PostalCode: 443202766
CountryCode: US
TelephoneNumber: 3303741199
FaxNumber: 3303740151
Practice Location
Address1: 1293 COPLEY RD
Address2:  
City: AKRON
State: OH
PostalCode: 443202766
CountryCode: US
TelephoneNumber: 3303741199
FaxNumber: 3303740151
Other Information
ProviderEnumerationDate: 06/12/2018
LastUpdateDate: 06/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XSOHY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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