Provider Demographics
NPI:1851983241
Name:WILLIAMS, NATHANIEL JOSEPH
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:JOSEPH
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 TILGHMAN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9295
Mailing Address - Country:US
Mailing Address - Phone:484-460-1890
Mailing Address - Fax:484-365-2633
Practice Address - Street 1:7310 TILGHMAN ST STE 300
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9295
Practice Address - Country:US
Practice Address - Phone:484-460-1890
Practice Address - Fax:484-365-2633
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW137871104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker