Ceneice Williams, LSW

Individual provider Active NPI Social Worker · Riverdale, IL

NPI 1265276752 · NPPES record last updated Jun 20, 2024

Key facts

NPI
1265276752
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
150.111198 (IL)
Practice address
68 W 144TH St Apt D
Riverdale, IL 60827-2851
Phone
(708) 870-1466
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
150.111198ILMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.111198 IL Yes

Addresses

Primary practice location

68 W 144TH St Apt D
Riverdale, IL 60827-2851

Mailing address

68 W 144TH St Apt D
Riverdale, IL 60827-2851
Phone (708) 870-1466

Other providers in Riverdale, IL

All providers in Riverdale, IL · Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.