Provider Demographics
NPI:1134106099
Name:WILLIAMS, NANCY E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
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 1:5210 E PIMA ST
Mailing Address - Street 2:STE: 200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3664
Mailing Address - Country:US
Mailing Address - Phone:520-271-6506
Mailing Address - Fax:
Practice Address - Street 1:5210 E PIMA ST
Practice Address - Street 2:STE: 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3664
Practice Address - Country:US
Practice Address - Phone:520-271-6506
Practice Address - Fax:520-795-3575
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-111521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical