LYDIA ANN WILLIAMS (NPI# 1184721110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184721110 |
| Entity Type | Individual |
| Full Name | LYDIA ANN WILLIAMS |
| Credential | PH.D. |
| Practice Address |
4230 Lincolnshire Dr Suite E Mount Vernon IL 62864-2189 |
| Practice Telephone | 6182424205 |
| Practice Fax Number | 6182424209 |
| Mailing Telephone | 6182424205 |
| Mailing Fax Number | 6182424209 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-01-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071005322 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 04132008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867906 | Lydia Williams | Behavior Technician | 5461 Hillandale Dr Ste 100, Lithonia, GA 30058-4842 | 2020-10-07 |
| 1689118770 | Lydia Williams | Pharmacist | 4469 Washington Rd, Evans, GA 30809-3807 | 2016-12-08 |
| 1720438559 | Lydia Jay Williams | Surgery | 5841 S Maryland Ave, Mc 6035, Chicago, IL 60637-1447 | 2016-06-13 |
| 1720497027 | Lydia Bryant Williams | Social Worker | 406 N. Alameda, Carlsbad, NM 88220 | 2014-08-12 |
| 1962830836 | Lydia A Williams | Registered Nurse | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 | 2013-10-31 |
| 1083950059 | Lydia Lee Williams | Counselor | 2725 Congress St, San Diego, CA 92110-2757 | 2012-12-19 |
| Street Address |
4230 LINCOLNSHIRE DR SUITE E |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972612901 | Michael Gregory Thompson | Counselor | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-08-30 |
| 1336282276 | Lincolnshire Pharmacy | Pharmacy | 4230 Lincolnshire Dr, Suite F, Mount Vernon, IL 62864-2189 | 2007-02-14 |
| 1659467207 | Sheila J. Ashby | Social Worker | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-10-04 |
| 1093818114 | Darla B Wexstten | Social Worker | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649507963 | Silverio Arenas | Psychologist | 4716 Monte Vista Pl # 360, Mount Vernonn, Mount Vernon, WA 98273-8982 | 2009-11-06 |
| 1790982106 | Kevin W Louderback | Psychologist | 918 Sunshine Dr, Mount Vernon, MO 65712-1735 | 2007-06-29 |
| 1245445139 | Kenneth Cass Elliott | Psychologist | 15 Bowen Mt Rd, Mount Vernon, ME 04352-3110 | 2007-05-14 |
| 1962566786 | Jennifer Finstad Clarke | Psychologist | 406 S 1st St Ste 300, Mount Vernon, WA 98273-3897 | 2006-12-20 |
| 1639239361 | Michele R Renchner | Psychologist | 22 Alameda Pl, Mount Vernon, NY 10552-1201 | 2006-12-11 |
| 1861568354 | Rakefet Richmond | Psychologist | 1103 Cleveland Avenue, Mount Vernon, WA 98273 | 2006-11-27 |
| 1003860776 | Christopher Nelson | Psychologist | 2120 E Division St, Mount Vernon, WA 98274-4639 | 2006-05-19 |
| 1053875252 | Jennifer Gwendolyn Benson | Psychologist | 307 S 13th St Ste 200, Mount Vernon, WA 98274-4100 | 2019-01-22 |
| 1922544477 | Michelle Grennan | Psychologist | 765 Gramatan Ave, Mount Vernon, NY 10552-1043 | 2017-01-09 |
| 1689052730 | Michael Daniel Earley | Psychologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2015-05-09 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on LYDIA ANN WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.