Kimberly T Williams, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Belhaven, NC
NPI 1154562890 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1154562890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C006412 (NC)
- Practice address
- 293 E Water St
Belhaven, NC 27810-1451 - Phone
- (252) 402-6509
- Fax
- (252) 558-0665
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Family Services LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006412 | NC | Yes |
Addresses
Primary practice location
293 E Water St
Belhaven, NC 27810-1451
Mailing address
PO Box 114
Belhaven, NC 27810-0114
Phone (252) 402-6509
Other providers in Belhaven, NC
All providers in Belhaven, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.