Provider Demographics
NPI:1982911814
Name:WILLIAMS, ERIC K (MSW - LCSW)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MSW - LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 RYERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-1304
Mailing Address - Country:US
Mailing Address - Phone:201-728-8802
Mailing Address - Fax:
Practice Address - Street 1:121 CEDAR LN STE 3A
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4457
Practice Address - Country:US
Practice Address - Phone:201-978-3287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054336001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical