Individual provider Active NPI

Kathy Cohn Williams, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1154539567
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5090C Issued in NV
Practice address
4326 W Cheyenne Ave Ste 109
North Las Vegas, NV 89032-2484
Phone
(702) 994-3507
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 5090C NV Primary

Addresses

Primary practice location

4326 W Cheyenne Ave Ste 109
North Las Vegas, NV 89032-2484

Mailing address

326 Parrot Hill Ave
North Las Vegas, NV 89032-9071
Phone (702) 875-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5090CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Counseling & Resource Center LLC. Clinical CurrentSince Apr 15, 2018 Accepting new patients
Presence Behavioral Health Past Accepting new patients

Locations

4326 W Cheyenne Ave
Ste 109
North Las Vegas, NV 89032
Phone (702) 994-3507

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1154539567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 PARROT HILL AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890329071",
            "telephone_number": "702-875-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 W CHEYENNE AVE STE 109",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "702-994-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHY",
        "middle_name": "COHN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5090C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.