Provider Demographics
NPI:1538157912
Name:BOND, WILLIAM HUDSON (LCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HUDSON
Last Name:BOND
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 RINDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-8062
Mailing Address - Country:US
Mailing Address - Phone:310-821-3270
Mailing Address - Fax:
Practice Address - Street 1:24430 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6557
Practice Address - Country:US
Practice Address - Phone:310-879-8781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS81781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical