Maxine C. Williams, M.S.W., C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004896 Issued in WA

Practice address

3627A Ensign Rd NE
Olympia, WA 98506-5024

Phone

(360) 455-1322

Fax

(360) 455-1322

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831246081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627A ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065024",
            "telephone_number": "360-455-1322",
            "fax_number": "360-455-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627A ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065024",
            "telephone_number": "360-455-1322",
            "fax_number": "360-455-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MAXINE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "M.S.W., C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Isobel Williams, LMP
• Justin Williams, CPO
• Kathryn Williams, PT
• Larry Lee Williams
• Mark K Williams, DPM
• Patrick C Williams, PA
• Richard F Williams, MD
• Ronald George Williams, MD
• Savannah Williams, AAC
• Shenae Domonique Williams

• Clinical Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.