Provider Demographics
NPI:1104356674
Name:WILLIAMS, AUBREY (MA, MSW, LCSWA)
Entity Type:Individual
Prefix:MR
First Name:AUBREY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MA, MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 ETHAN POINTE DR APT 8309
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9535
Mailing Address - Country:US
Mailing Address - Phone:919-423-3920
Mailing Address - Fax:
Practice Address - Street 1:2634 CHAPEL HILL BLVD STE 216
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2877
Practice Address - Country:US
Practice Address - Phone:919-682-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0162051041C0700X
NCP011681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty