Provider Demographics
NPI:1023735768
Name:WILLIAMS, AMY FISCHER (MSW, APSW, DSW)
Entity type:Individual
Prefix:PROF
First Name:AMY
Middle Name:FISCHER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW, APSW, DSW
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:FISCHER
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:WI
Mailing Address - Zip Code:54155-0356
Mailing Address - Country:US
Mailing Address - Phone:920-490-3874
Mailing Address - Fax:
Practice Address - Street 1:2640 WEST POINT RD.
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:WI
Practice Address - Zip Code:54155
Practice Address - Country:US
Practice Address - Phone:920-490-3874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI132713-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker