Willie Mae Kent, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00494400 Issued in NJ

Practice address

4601 Ascher Rd
Vineland, NJ 08361-7601

Phone

(856) 300-7770

NPI assigned

Aug 23, 2019

Last updated

Oct 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Willie Mae Williams Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Counseling & Trauma Treatment Center, LLC

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  • Vineland, NJ
  • NPI 1780222976
  Medicare reassignment NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1144877291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 ASCHER RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617601",
            "telephone_number": "856-300-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 ASCHER RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617601",
            "telephone_number": "856-300-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Ascher Rd",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083617601",
            "country_code": "US",
            "telephone_number": "856-300-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "WILLIE MAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00494400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIE MAE",
            "last_name": "WILLIAMS",
            "prefix": "MISS",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brynn Kelley
• Jessica Kelley, APN, FNP-BC
• Taylor Kemery, DNP, CPNP-PC
• Beth Kennedy, LPN
• Patricia Lee Kenney, LCSW MAC SAP
• Katie Marie Ketschek
• Key Advocates of Tomorrow LLC
• Sara Adel Khalil, M.D.
• Muhammad Khubaib Gul Khan, M.B.B.S
• Shizza Khan, MD

• Clinical Social Worker in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.