Kimberly Williams, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13556 Issued in MD

Practice address

1401 Dennis Ave
Silver Spring, MD 20902-3827

Phone

(240) 740-3290

Fax

(301) 649-8266

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kimberly.williams.p3@direct.mcg-hhs.nextgenshare.com
• Direct secure messaging: kimberly.williams.p1@direct.mcg-hhs.nextgenshare.com

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1124597497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14842 LONDON LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DENNIS AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023827",
            "telephone_number": "240-740-3290",
            "fax_number": "301-649-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Kellie Williams, BEHAVIOR TECHNICIAN
• Fatima Williams
• Gwendolyn Johnson Williams, MSW
• John Donald Williams III
• Kenneth Williams, PTA
• Kinnidy Williams
• Laura Williams, M.D.
• Nashon Williams
• Patience Adjovi Williams, M.D.
• Phranci Williams, LCPC

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.