Doctor Name: | MR. TED WILLIAMS |
NPI Number: | 1003027970 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | SW7817 |
Business Practice Address: | 4830 Ne 2nd Ave Fort Lauderdale, FL - 333341506 |
Business Phone Number: | 9544916122 |
Business Fax Number: | 9544916122 |
Mailing Address: | 4830 Ne 2nd Ave, FORT LAUDERDALE |
State: | FL |
Postal Code: | 333341506 |
Phone Number: | 9544916122 |
Fax Number: | 9544916122 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW7817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |