Provider Demographics
NPI:1962259143
Name:WILLIAMS, DAA'IYAH MARYAM
Entity type:Individual
Prefix:MS
First Name:DAA'IYAH
Middle Name:MARYAM
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PALMER PL
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3852
Mailing Address - Country:US
Mailing Address - Phone:302-327-0171
Mailing Address - Fax:
Practice Address - Street 1:6 PALMER PL
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3852
Practice Address - Country:US
Practice Address - Phone:302-327-0171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0000231104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker