Provider Demographics
NPI:1699857516
Name:WILLIAMS, JAMES KENT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KENT
Last Name:WILLIAMS
Suffix:
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 1:9978 E NICARAGUA LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-3165
Mailing Address - Country:US
Mailing Address - Phone:520-722-5682
Mailing Address - Fax:
Practice Address - Street 1:1200 N EL DORADO PL
Practice Address - Street 2:SUITE 620F
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4637
Practice Address - Country:US
Practice Address - Phone:520-886-1136
Practice Address - Fax:520-751-7475
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-17331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical