National Provider Identifier

Heather Lynn Williamson

Heather Lynn Williamson is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Jamestown, NY and a listed phone number of (716) 661-8330.

NPI 1811359441Jamestown, NYClinical Social Worker

Profile Overview

NPI
1811359441
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 23, 2016
Last Updated
September 08, 2023

Practice Location

  • 200 E 3Rd St
  • Jamestown, NY 14701-5433

Phone: (716) 661-8330

Mailing Address

  • 2 Academy St Rm 201
  • Mayville, NY 14757-1050

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1811359441
Entity Type
Individual
Last Name
Williamson
First Name
Heather
Middle Name
Lynn
Provider Other Last Name
Tyktor
Provider Other First Name
Heather
Provider Other Middle Name
Lynn
Provider Other Last Name Type Code
1
Mailing Street Address
2 Academy St Rm 201
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-1050
Mailing Country
US
Mailing Phone
(716) 753-4104
Mailing Fax
(716) 753-4230
Practice Street Address
200 E 3Rd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8330
Practice Fax
(716) 753-4230
Enumeration Date
March 23, 2016
Last Updated
September 08, 2023
Sex
Female
Sole Proprietor
No
Certification Date
November 28, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)