Provider Demographics
NPI:1891000279
Name:WILLIAMS, DEBORAH ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2053 MCGRAW AVE
Mailing Address - Street 2:6H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-8025
Mailing Address - Country:US
Mailing Address - Phone:347-495-2054
Mailing Address - Fax:
Practice Address - Street 1:55 W 125TH ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4516
Practice Address - Country:US
Practice Address - Phone:212-426-4802
Practice Address - Fax:212-360-6271
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical