Provider Demographics
NPI:1275273807
Name:WILLIAMS, DANA JANENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:JANENE
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 1:4844 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ONA
Mailing Address - State:FL
Mailing Address - Zip Code:33865-8767
Mailing Address - Country:US
Mailing Address - Phone:863-444-2714
Mailing Address - Fax:
Practice Address - Street 1:4844 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:ONA
Practice Address - State:FL
Practice Address - Zip Code:33865-8767
Practice Address - Country:US
Practice Address - Phone:863-444-2714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL196761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical