Provider Demographics
NPI:1003462011
Name:WILLIAMS, SENECA (CSW,MSW,LCSWA)
Entity Type:Individual
Prefix:
First Name:SENECA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CSW,MSW,LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 STATLER DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6354
Mailing Address - Country:US
Mailing Address - Phone:832-273-6387
Mailing Address - Fax:
Practice Address - Street 1:1015 STATLER DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6354
Practice Address - Country:US
Practice Address - Phone:832-273-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0139261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical