Provider Demographics
NPI:1417487778
Name:WILLIAMS, JAMES DASHUAN (LCSW, LCADC, CCTP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DASHUAN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LCSW, LCADC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 GROVE ST UNIT 834
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-5923
Mailing Address - Country:US
Mailing Address - Phone:551-225-1527
Mailing Address - Fax:551-282-3849
Practice Address - Street 1:344 GROVE STREET
Practice Address - Street 2:UNITE #834
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307
Practice Address - Country:US
Practice Address - Phone:551-225-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-19
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058964001041C0700X
NJ37LC00281000101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)