Provider Demographics
NPI:1518133420
Name:WILLIAMS, DANNY R (MSW)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 JAMESTOWN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3228
Mailing Address - Country:US
Mailing Address - Phone:225-924-6621
Mailing Address - Fax:
Practice Address - Street 1:6002 PERKINS RD STE C2
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4284
Practice Address - Country:US
Practice Address - Phone:225-831-5151
Practice Address - Fax:225-308-8438
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA23831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical