Individual provider Active NPI

Kamariah Shani Wilkerson

  • Clinical Social Worker
  • Hinesville, GA
National Provider Identifier
1285587576
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P023331 Issued in NC
Practice address
825 Sagewood Dr
Hinesville, GA 31313-1043
Phone
(815) 793-9314
NPI assigned
Feb 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 P023331 NC Primary

Addresses

Primary practice location

825 Sagewood Dr
Hinesville, GA 31313-1043

Mailing address

825 Sagewood Dr
Hinesville, GA 31313-1043
Phone (815) 793-9314

Other practice location 1

5501 Executive Center Dr Ste 213
Charlotte, NC 28212-8823
Phone (980) 785-4332

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P023331NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1285587576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SAGEWOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313131043",
            "telephone_number": "815-793-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SAGEWOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313131043",
            "telephone_number": "815-793-9314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Executive Center Dr Ste 213",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128823",
            "country_code": "US",
            "telephone_number": "980-785-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "KAMARIAH",
        "middle_name": "SHANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.