Individual provider Active NPI

Kimberly S Sewell-Williams, MSW,LCSW

  • Clinical Social Worker
  • Marksville, LA
National Provider Identifier
1114469954
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14930 Issued in LA
Practice address
4239 Highway 1192 Ste 300
Marksville, LA 71351-4772
Phone
(318) 253-0677
NPI assigned
Nov 10, 2016
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14930 LA Primary

Addresses

Primary practice location

4239 Highway 1192 Ste 300
Marksville, LA 71351-4772

Mailing address

4239 Highway 1192 Ste 300
Marksville, LA 71351-4772
Phone (318) 253-0677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321001306 LA Practitioner - Clinical Social Worker 2466899893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

1610 Water St
Avoyelles Hospital Physicians Practice
Lecompte, LA 71346-4734
Phone (318) 406-8010

4239 Hwy 1192
Suite 300
Marksville, LA 71351-4772
Phone (318) 253-8611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14930LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Mar 6, 2024 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Mar 6, 2024 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients
Bio-Medical Applications of Louisiana, LLC PastSince Feb 1, 2024 Accepting new patients
Bio-Medical Applications of Louisiana, LLC PastSince Feb 1, 2024 Accepting new patients

Locations

2906 Main St
Hessmer, LA 71341
Phone (318) 315-7093

1610 Water St
Lecompte, LA 71346
Phone (318) 406-8010

110 La Rue Medecine St
Marksville, LA 71351
Phone (318) 253-6564

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: kimberly.sewell-williams.1@30808.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1114469954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192 STE 300",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514772",
            "telephone_number": "318-253-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192 STE 300",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514772",
            "telephone_number": "318-253-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL-WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.