Provider Demographics
NPI:1851699474
Name:WILLIAMS, ANTHONY L (LSW)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:MR
Other - First Name:ANTHONY
Other - Middle Name:L
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:200 FEDERAL ST
Mailing Address - Street 2:SUITE 227
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1061
Mailing Address - Country:US
Mailing Address - Phone:855-447-1351
Mailing Address - Fax:
Practice Address - Street 1:200 FEDERAL ST
Practice Address - Street 2:SUITE 227
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1061
Practice Address - Country:US
Practice Address - Phone:855-447-1351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-06
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health