Provider Demographics
NPI:1023026606
Name:WILLIAMS, DANA AUGUST (LCSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:AUGUST
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SAINT VINCENT CIR STE 260
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5421
Mailing Address - Country:US
Mailing Address - Phone:501-552-4755
Mailing Address - Fax:501-552-4325
Practice Address - Street 1:1 SAINT VINCENT CIR STE 260
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5421
Practice Address - Country:US
Practice Address - Phone:501-552-4755
Practice Address - Fax:501-552-4325
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2748B104100000X
AR2313-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker