1023735768 NPI number — PROF. AMY FISCHER WILLIAMS MSW, APSW, DSW

Table of content: PROF. AMY FISCHER WILLIAMS MSW, APSW, DSW (NPI 1023735768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023735768 NPI number — PROF. AMY FISCHER WILLIAMS MSW, APSW, DSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
AMY
Provider Middle Name:
FISCHER
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
MSW, APSW, DSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WILLIAMS
Provider Other First Name:
AMY
Provider Other Middle Name:
FISCHER
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1023735768
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 356
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ONEIDA
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54155-0356
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-490-3874
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2640 WEST POINT RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ONEIDA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-490-3874
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  132713-121 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com