Provider Demographics
NPI:1316182041
Name:WILLIAMS, DAN LUTHER II (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAN
Middle Name:LUTHER
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E ERIE ST STE 610
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5934
Mailing Address - Country:US
Mailing Address - Phone:773-255-0672
Mailing Address - Fax:
Practice Address - Street 1:233 E ERIE ST STE 610
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5934
Practice Address - Country:US
Practice Address - Phone:773-255-0672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0110891041C0700X
IL20066061041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool