Provider Demographics
NPI:1962654012
Name:WILLIAMS, COLE DAVID (MSW CANDIDATE 2010)
Entity Type:Individual
Prefix:MR
First Name:COLE
Middle Name:DAVID
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MSW CANDIDATE 2010
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 WILSHIRE BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2302
Mailing Address - Country:US
Mailing Address - Phone:323-361-8867
Mailing Address - Fax:
Practice Address - Street 1:3520 WILSHIRE BLVD FL 5
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2302
Practice Address - Country:US
Practice Address - Phone:323-361-8867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator