Provider Demographics
NPI:1679769160
Name:WILLIAMS, ALFREDA DEARING (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ALFREDA
Middle Name:DEARING
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:866 WAKEHURST PL
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-4734
Mailing Address - Country:US
Mailing Address - Phone:404-294-8609
Mailing Address - Fax:404-294-8609
Practice Address - Street 1:866 WAKEHURST PL
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-4734
Practice Address - Country:US
Practice Address - Phone:404-294-8609
Practice Address - Fax:404-294-8609
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW003781104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker