Provider Demographics
NPI:1447550173
Name:WILLIAMS, DURAN (MS, ISW)
Entity type:Individual
Prefix:MR
First Name:DURAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MS, ISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3191 CLAY MANGUM LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2501
Mailing Address - Country:US
Mailing Address - Phone:813-264-3807
Mailing Address - Fax:813-264-3874
Practice Address - Street 1:3191 CLAY MANGUM LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2501
Practice Address - Country:US
Practice Address - Phone:813-264-3807
Practice Address - Fax:813-264-3874
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW61551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical