Provider Demographics
NPI:1174610984
Name:WILLIAMS, JAMES J (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1000 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3820
Mailing Address - Country:US
Mailing Address - Phone:501-244-1768
Mailing Address - Fax:501-244-1795
Practice Address - Street 1:2801 S UNIVERSITY AVE
Practice Address - Street 2:UALR - SCHOOL OF SOCIAL WORK
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-1000
Practice Address - Country:US
Practice Address - Phone:501-569-3098
Practice Address - Fax:501-569-3184
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1700-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X131OtherARK BCBS
AR5X131OtherARK BCBS